Individual provider Active NPI

Terry Lynn Buckley, MSPT

  • Physical Therapist
  • Canal Winchester, OH
National Provider Identifier
1124347232
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012520 Issued in OH
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

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241121000638 OH Practitioner - Physical Therapist in Private Practice 0143755686 Reassigns benefits to 1 organization

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
Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

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

LicenseStateTypeSpecialty
012520OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic One, Inc CurrentSince Nov 9, 2024 Accepting new patients
Orthopedic One, Inc. CurrentSince Nov 9, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.