Active NPI
Seth Joseph Buck, DPT
- Physical Therapist
- Rigby, ID
National Provider Identifier
1043657281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-3150
- Practice address
- 3816 E 322 N
Rigby, ID 83442-5442 - Phone
- (801) 310-8463
- NPI assigned
- May 29, 2013
- Last updated
- May 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3150 | ID | Primary |
| Physical Therapist | 225100000X | 8583552-2401 | UT |
Addresses
Primary practice location
3816 E 322 N
Rigby, ID 83442-5442
Mailing address
3816 E 322 N
Rigby, ID 83442-5442
Phone (801) 310-8463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3150 | ID | MD | Physical Therapist |
| 8583552-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHD Therapies, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
700 N 2nd St
Ashton, ID 83420
Phone (208) 356-9456
36 Professional Plz
Ste 110
Rexburg, ID 83440
Phone (208) 359-9570
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, 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": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1043657281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3816 E 322 N",
"city": "RIGBY",
"state": "ID",
"postal_code": "834425442",
"telephone_number": "801-310-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 E 322 N",
"city": "RIGBY",
"state": "ID",
"postal_code": "834425442",
"telephone_number": "801-310-8463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "SETH",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-3150",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "8583552-2401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.