Individual provider Active NPI

Peter Buffington, DPT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1053661355
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27565 Issued in FL
Practice address
4098 Libra Dr Ste 114
Orlando, FL 32816-4501
Phone
(407) 823-0377
Fax
(407) 823-1897
NPI assigned
Sep 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27565 FL Primary

Addresses

Primary practice location

4098 Libra Dr Ste 114
Orlando, FL 32816-4501

Mailing address

4098 Libra Dr Ste 114
Orlando, FL 32816-8026
Phone (407) 823-0377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000871 FL Practitioner - Physical Therapist in Private Practice 5799008884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Central Florida Board of TrusteesGroup PAC ID 9739181470, 43 clinicians

Practice addresses (Care Compare)

4098 Libra Dr
RM 114
Orlando, FL 32816-2205
Phone (407) 823-0377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Sports Medicine Group Inc Physical Therapist CurrentSince Oct 17, 2013 Accepting new patients
The University of Central Florida Board of Trustees Current Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Aug 1, 2023 Accepting new patients
University of Central Florida Past Accepting new patients

Locations

4098 Libra Dr
Ste 114
Orlando, FL 32816
Phone (407) 823-3462

12780 Waterford Lakes Pkwy
Ste 115
Orlando, FL 32828
Phone (407) 207-7188

4098 Libra Dr
Rm 114
Orlando, FL 32816
Phone (407) 303-6610

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Organizations & group practices 4

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1053661355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR STE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168026",
            "telephone_number": "407-823-0377",
            "fax_number": "407-823-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR STE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328164501",
            "telephone_number": "407-823-0377",
            "fax_number": "407-823-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.