Individual provider Active NPI

Lizabeth Jean Bunkell, PT

  • Physical Therapist
  • Santa Clarita, CA
National Provider Identifier
1003060559
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21192 Issued in CA
Practice address
26639 Valley Center Dr
Suite 101
Santa Clarita, CA 91351-2357
Phone
(661) 254-1842
Fax
(661) 254-1862
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21192 CA Primary

Addresses

Primary practice location

26639 Valley Center Dr
Suite 101
Santa Clarita, CA 91351-2357

Mailing address

26639 Valley Center Dr
Suite 101
Santa Clarita, CA 91351-2357
Phone (661) 254-1842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT21192CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1003060559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "address_2": "SUITE 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-254-1842",
            "fax_number": "661-254-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26639 VALLEY CENTER DR",
            "address_2": "SUITE 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512357",
            "telephone_number": "661-254-1842",
            "fax_number": "661-254-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKELL",
        "first_name": "LIZABETH",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.