Active NPI
William I Buck, DPT
- Physical Therapist
- Berea, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007431
- Practice address
- 127 Clay Dr
Berea, KY 40403-1349 - Phone
- (859) 756-3281
- Fax
- (859) 756-3640
- NPI assigned
- Aug 17, 2018
- Last updated
- Apr 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007431 | KY | Primary |
Addresses
Primary practice location
127 Clay Dr
Berea, KY 40403-1349
Mailing address
330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600
Other practice location 1
998 S Highway 25 W
Williamsburg, KY 40769-1692
Phone (606) 539-7257
Other practice location 2
330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100571180 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007431 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Health System, Inc. | Past | Accepting new patients | |
| PT Pros, Inc. | Physical Therapist | Past | Accepting new patients |
| PT Solutions Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Corbin, KY
- NPI 1568560803
-
- Physical Therapist
- Williamsburg, KY
- NPI 1770090441
-
dba Saint Joseph Primary Care Associates Corbin - RHC
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1285301234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1053891200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 WALLER AVE STE 275",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042930",
"telephone_number": "859-447-8600",
"fax_number": "859-447-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CLAY DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404031349",
"telephone_number": "859-756-3281",
"fax_number": "859-756-3640"
}
],
"practiceLocations": [
{
"address_1": "998 S Highway 25 W",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "KY",
"postal_code": "407691692",
"country_code": "US",
"telephone_number": "606-539-7257",
"fax_number": "606-549-4900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Waller Ave Ste 275",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405042930",
"country_code": "US",
"telephone_number": "859-447-8600",
"fax_number": "859-447-8599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCK",
"first_name": "WILLIAM",
"middle_name": "I",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-17",
"last_updated": "2023-04-13",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100571180",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.