Vincent Charles Buzzas, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

110 Issued in MT

Practice address

715 Kensington Ave
Suite 18
Missoula, MT 59801-5769

Phone

(406) 549-4646

NPI assigned

May 22, 2007

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1144439670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE",
            "address_2": "SUITE 18",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015769",
            "telephone_number": "406-549-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE",
            "address_2": "SUITE 18",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015769",
            "telephone_number": "406-549-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZAS",
        "first_name": "VINCENT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD,MT",
            "identifier": "6035-0",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34-1835",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATEFUND(WORKERSCOMP",
            "identifier": "03-00089-0",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharyne Alysse Bushman, MA, NCC
• Kristina Lee Buster, O.D.
• Butler Chiropractic Health Clinic, PC
• Don R Butler, D.C.
• Lynn Butler, DC
• Anthony Eric Gumarang Buzzell, PMHNP-BC
• Emerald Noelle Buzzell, FNP
• Rino Alberto Buzzola, M.D.
• Joseph D Byington, D.M.D
• Hannah Marie Bymaster, DDS

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.