Emily Buczkowski, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Flagstaff, AZ
NPI 1093574451 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1093574451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- Practice address
- 2912 N West St
Flagstaff, AZ 86004-1974 - Phone
- (928) 214-7430
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reform Physical Therapy Inc
Practice addresses (Care Compare)
190 Pleasant St
Brunswick, ME 04011-2213
23 Durham Rd
Suite 101
Freeport, ME 04032-6796
Phone (207) 725-4400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021001004 | ME | Practitioner - Physical Therapist in Private Practice | 9739528860 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reform Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
| Rivertree Osteopathic Health PC | Past | Accepting new patients |
Locations
190 Pleasant St
Brunswick, ME 04011
23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Yes |
Addresses
Primary practice location
2912 N West St
Flagstaff, AZ 86004-1974
Mailing address
1651 N Gemini Dr Apt 126
Flagstaff, AZ 86001-1614
Phone (207) 522-9592
Other providers in Flagstaff, AZ
- Krystle Brunker
- Tara Nicole Brzezinski
- Anna Jean Buchanan
- Cindy Bucher
- Samantha Ann Buchika
- Elizabeth Budge
- Teresa Ann Buechel
- Dominique Buenavides
- Robinette Bullard
- Megan Jane Bulloch
All providers in Flagstaff, AZ · Orthopedic Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.