Active NPI
Terry Lynn Buckley, MSPT
- Physical Therapist
- Canal Winchester, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012520
- Practice address
- 7750 Diley Rd Ste B
Canal Winchester, OH 43110-7758 - Phone
- (614) 545-7939
- Fax
- (614) 388-9812
- NPI assigned
- May 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 012520 | OH | |
| Physical Therapist | 225100000X | PT012520 | OH | Primary |
Addresses
Primary practice location
7750 Diley Rd Ste B
Canal Winchester, OH 43110-7758
Mailing address
340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 839-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012520 | OH | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic One, Inc | Current | Accepting new patients | |
| Orthopedic One, Inc. | Current | Accepting new patients | |
| Keystone Rehabilitation Systems, Inc. | Past | Accepting new patients |
Locations
7750 Diley Rd
#B
Canal Winchester, OH 43110
Phone (614) 545-7939
4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300
340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300
Interoperability endpoints
- tbuckley@orthopedicone.medentdirect.com
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.
-
- Orthopaedic Surgery Physician
- Westerville, OH
- NPI 1548289697
-
- Durable Medical Equipment & Medical Supplies
- Canal Winchester, OH
- NPI 1467284042
-
- Physical Therapy Clinic/Center
- Butler, PA
- NPI 1336878941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1124347232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 POLARIS PKWY",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827971",
"telephone_number": "614-545-7900",
"fax_number": "614-545-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 DILEY RD STE B",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107758",
"telephone_number": "614-545-7939",
"fax_number": "614-388-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "TERRY",
"middle_name": "LYNN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-28",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "012520",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT012520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.