Individual provider Active NPI

Seth Joseph Buck, DPT

  • Physical Therapist
  • Rigby, ID
National Provider Identifier
1043657281
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-3150 Issued in ID
Practice address
3816 E 322 N
Rigby, ID 83442-5442
Phone
(801) 310-8463
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200312000831 ID Practitioner - Physical Therapist in Private Practice 4385072032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-3150IDMDPhysical Therapist
8583552-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MHD Therapies, PLLC Physical Therapist CurrentSince Jan 1, 2020 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.

Verify at the official NPI Registry.