Active NPI
Diane Jean Buckman, P.T.
- Physical Therapist
- Auburn, CA
National Provider Identifier
1083844344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-14831
- Practice address
- 11960 Heritage Oak PL
Suite 17
Auburn, CA 95603-2401 - Phone
- (916) 412-3985
- NPI assigned
- Jul 21, 2009
- Last updated
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | PT-14831 | CA | Primary |
Addresses
Primary practice location
11960 Heritage Oak PL
Suite 17
Auburn, CA 95603-2401
Mailing address
2335 Harris LN
Auburn, CA 95603-7414
Phone (530) 887-8508
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-14831 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1083844344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 HARRIS LN",
"city": "AUBURN",
"state": "CA",
"postal_code": "956037414",
"telephone_number": "530-887-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11960 HERITAGE OAK PL",
"address_2": "SUITE 17",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032401",
"telephone_number": "916-412-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKMAN",
"first_name": "DIANE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT-14831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.