Individual provider Active NPI

Katherine Daniels Buyniski, PT

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1073891602
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018539 Issued in IL
Practice address
1440 Fisher St
Munster, IN 46321-2607
Phone
(219) 629-4076
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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 070018539 IL Primary

Addresses

Primary practice location

1440 Fisher St
Munster, IN 46321-2607

Mailing address

1440 Fisher St
Munster, IN 46321-2607
Phone (219) 629-4076

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

LicenseStateTypeSpecialty
070018539ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Daniels Buyniski DPT, P.C. Physical Therapist CurrentSince Aug 9, 2020 Accepting new patients
Allied Psychological Services LTD PastSince Mar 7, 2011 Accepting new patients
Bannockburn Chiropractic & Sports Injury Center PC Physical Therapist PastSince Mar 1, 2011 Accepting new patients

Locations

610 Ridge Rd
Munster, IN 46321
Phone (219) 595-7473

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1073891602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 FISHER ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212607",
            "telephone_number": "219-629-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 FISHER ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212607",
            "telephone_number": "219-629-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYNISKI",
        "first_name": "KATHERINE",
        "middle_name": "DANIELS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.