Alex Michael Buchkovich

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018536 Issued in OH

Practice address

3817 Colonel Glenn Hwy
Beavercreek, OH 45324-2268

Phone

(937) 427-9200

NPI assigned

Jun 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Abc Pediatric Therapy LLC

  • Physical Therapist
  • West Chester, OH
  • NPI 1134152861
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1124643457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 TYLERS PLACE BLVD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696308",
            "telephone_number": "513-755-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 COLONEL GLENN HWY",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "453242268",
            "telephone_number": "937-427-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHKOVICH",
        "first_name": "ALEX",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Broyles
• Bruce E. Kline PSYD & Associates
• Jacob Paul Brucker II, DO
• Gina Marie Brummett, HIS
• Bryan Dodd DDS, Inc.
• Buckeye Behavior Services, LLC.
• Buckeye Behavioral Consulting Inc
• Nicole Buckingham, APRN-CNP
• Christopher A Buckner, MPT
• Lan-Anh Bui, D.D.S.

• Physical Therapist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.