Active NPI
Susan M Buck
- Physical Therapist
- Elkins Park, PA
National Provider Identifier
1083943328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005917L
- Practice address
- 265 Township Line Rd
Elkins Park, PA 19027-2221 - Phone
- (610) 584-5132
- NPI assigned
- Dec 16, 2009
- Sex
- Female
- 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 | PT005917L | PA | Primary |
Addresses
Primary practice location
265 Township Line Rd
Elkins Park, PA 19027-2221
Mailing address
967 Patriot Dr
Lansdale, PA 19446-5555
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 |
|---|---|---|---|
| PT005917L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1083943328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 PATRIOT DR",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194465555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 TOWNSHIP LINE RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272221",
"telephone_number": "610-584-5132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "SUSAN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005917L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.