Julie Buker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160038835 Issued in WA

Practice address

2041 Rosecrans Ave Ste 245
El Segundo, CA 90245-7509

Phone

(888) 223-8002

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1073360335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NW 10TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043203",
            "telephone_number": "360-624-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 ROSECRANS AVE STE 245",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902457509",
            "telephone_number": "888-223-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13455 SE 97th Ave",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970158662",
            "country_code": "US",
            "telephone_number": "503-675-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKER",
        "first_name": "JULIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8243",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1981",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160038835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Lee Buckner
• Alyssa Charlize Kairan Bueno
• Evelyn Bueno
• Vanessa Buenrostro
• Shannon Buffington
• Sondrina Bullitt, L.AC
• Kaliyah Bullock
• Channe Bunthung, FNP-C
• Olga Burda-Ramazanowa
• Emily Burdick

• Physical Therapy Assistant in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.