Active NPI
Amy Buckman, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1013374255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3260
- Practice address
- 7455 W Washington Ave
Suite 100
Las Vegas, NV 89128-4337 - Phone
- (702) 655-9456
- Fax
- (702) 243-1830
- NPI assigned
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3260 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7455 W Washington Ave
Suite 100
Las Vegas, NV 89128-4337
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2016.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1013374255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-655-9456",
"fax_number": "702-243-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKMAN",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.