Individual provider Active NPI

Nicholas Bucher, PT, DPT

  • Physical Therapist
  • Monterey Park, CA
National Provider Identifier
1114383957
Registry record updated Jan 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43516 Issued in CA
Practice address
610 N Garfield Ave
Monterey Park, CA 91754-1103
Phone
(626) 573-3141
NPI assigned
Jan 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2016

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 43516 CA Primary

Addresses

Primary practice location

610 N Garfield Ave
Monterey Park, CA 91754-1103

Mailing address

1810 Ramona Ave Apt 24
South Pasadena, CA 91030-4438
Phone (626) 429-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000077 CA Practitioner - Physical Therapist in Private Practice 1355680406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43516CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sung J. Kim Physical Therapy, Apc Physical Therapist CurrentSince Jan 26, 2019 Accepting new patients
Nifty After Fifty Physical Therapist Past Accepting new patients

Locations

1706 W Orangethorpe Ave
Ste F
Fullerton, CA 92833
Phone (714) 457-1400

1706 W Orangethorpe Ave
Ste D
Fullerton, CA 92833
Phone (714) 457-1400

Interoperability endpoints

  • Direct secure messaging: nicholas.bucher.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1114383957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 RAMONA AVE APT 24",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304438",
            "telephone_number": "626-429-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541103",
            "telephone_number": "626-573-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHER",
        "first_name": "NICHOLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.