Individual provider Active NPI

Joan Jarboe Buckler, PT

  • Orthopedic Physical Therapist
  • Reno, NV
National Provider Identifier
1023058054
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1891 Issued in NV
Practice address
1000 Locust St
Physical Therapy Dept
Reno, NV 89502-2597
Phone
(775) 786-7200
Fax
(775) 337-2260
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1891 NV Primary

Addresses

Primary practice location

1000 Locust St
Physical Therapy Dept
Reno, NV 89502-2597

Mailing address

1771 Canyon Shadow Cir
Reno, NV 89521-5011
Phone (775) 232-9691

Other names 1

  • Joan Ellen Jarboe Former name

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

State licenses

LicenseStateTypeSpecialty
1891NVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Rehabilitation Organization Orthopedic PastSince Sep 15, 2003 Accepting new patients

Organizations & group practices 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1023058054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 CANYON SHADOW CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215011",
            "telephone_number": "775-232-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LOCUST ST",
            "address_2": "PHYSICAL THERAPY DEPT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022597",
            "telephone_number": "775-786-7200",
            "fax_number": "775-337-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "JOAN",
        "middle_name": "JARBOE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "JARBOE",
            "middle_name": "ELLEN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.