Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Axis Integrative Medical, PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1235574963

Axis Integrative Medical, PC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Thornwood, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

879 Commerce St
Thornwood, NY 10594-1415
Phone: (914) 747-9200
Fax: (914) 747-4406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence 264414 (NY)

Record details

NPI number1235574963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilder Rucker — Owner · (914) 747-9200
NPI enumeratedMay 8, 2013
Last updated in NPPESMay 8, 2013
Mailing address879 Commerce St, Thornwood, NY 10594-1415