Individual provider Active NPI

Andrew Ashby Buglewicz, PT

  • Physical Therapist
  • Oxford, MS
National Provider Identifier
1003842634
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3500 Issued in MS
Practice address
2205 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone
(662) 238-2800
Fax
(662) 238-2808
NPI assigned
Jun 24, 2006
Last updated
Nov 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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 PT3500 MS Primary

Addresses

Primary practice location

2205 Jefferson Davis Dr
Oxford, MS 38655-5221

Mailing address

PO Box 1016
Oxford, MS 38655-5221
Phone (662) 238-2800

Other identifiers 1

IdentifierTypeStateIssuer
00125948MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000641 MS Practitioner - Physical Therapist in Private Practice 7810927787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

2205 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone (662) 238-2800

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
Pro Health Aquisition Company Physical Therapist Past Accepting new patients
Clarksdale Physical Therapy Inc Physical Therapist PastSince Oct 1, 2005 Accepting new patients
Clarksdale Physical Therapy Associates, Inc. Physical Therapist Past Accepting new patients

Locations

2205 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 232-8949

2714 West Oxford Loop
Ste 164
Oxford, MS 38655
Phone (662) 232-8949

105B Quality Ln
Senatobia, MS 38668
Phone (662) 562-9977

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1003842634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555221",
            "telephone_number": "662-238-2800",
            "fax_number": "662-238-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 JEFFERSON DAVIS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555221",
            "telephone_number": "662-238-2800",
            "fax_number": "662-238-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGLEWICZ",
        "first_name": "ANDREW",
        "middle_name": "ASHBY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125948",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.