Jordan Buchta
Individual provider Active NPI Occupational Therapy Assistant · Louisville, KY
NPI 1144612367 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1144612367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32002799A (IN)
- Practice address
- 2701 Chestnut Station CT
Louisville, KY 40299-6395 - Phone
- (800) 335-1060
- NPI assigned
- Feb 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32002799A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32002799A | IN | Yes |
Addresses
Primary practice location
2701 Chestnut Station CT
Louisville, KY 40299-6395
Mailing address
1449 Dexter CT
Jasper, IN 47546-2880
Phone (812) 639-8298
Other providers in Louisville, KY
- Nathaniel Douglas Bucher
- Linda Buchert
- Julie Buchheit
- Dennis Buchholz
- John Joseph Buchino
- Angeles Lily Buck
- Angeles Michelle Buck
- Anne Buck
- Devon Buck
- Katie M Buck
All providers in Louisville, KY · Occupational Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.