Individual provider Active NPI

Nicholas Bugbee, DPT

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1013339167
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011988A Issued in IN
Practice address
1005 N Hickory Rd
South Bend, IN 46615-3723
Phone
(574) 233-5754
NPI assigned
Jan 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023241 PA
Physical Therapist 225100000X 05011988A IN Primary
Physical Therapist 225100000X 20934 MA

Addresses

Primary practice location

1005 N Hickory Rd
South Bend, IN 46615-3723

Mailing address

1005 N Hickory Rd
South Bend, IN 46615-3723
Phone (574) 233-5754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627002082 MI Practitioner - Physical Therapist in Private Practice 7315165958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

183 Peace Blvd
Saint Joseph, MI 49085-9146
Phone (269) 428-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20934MAMDPhysical Therapist
PT023241PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Physical Therapy and Sports Rehabilitation Center CurrentSince Aug 17, 2025 Accepting new patients
Southwest Michigan Center for Orthopaedic and Sports Medicine P CurrentSince Jun 1, 2018 Accepting new patients

Locations

1005 N Hickory Rd
South Bend, IN 46615
Phone (574) 233-5754

183 Peace Blvd
Saint Joseph, MI 49085
Phone (269) 408-1636

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1013339167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723",
            "telephone_number": "574-233-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723",
            "telephone_number": "574-233-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGBEE",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-08",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023241",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011988A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.