Active NPI
Elizabeth Ruth Buckley, P.T.
- Physical Therapist
- Milwaukie, OR
National Provider Identifier
1154772317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4528
- Practice address
- 10330 SE 32ND Ave
Suites 110 & 125
Milwaukie, OR 97222-6587 - Phone
- (503) 513-1327
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4528 | OR | Primary |
Addresses
Primary practice location
10330 SE 32ND Ave
Suites 110 & 125
Milwaukie, OR 97222-6587
Mailing address
10330 SE 32ND Ave
Suites 110 & 125
Milwaukie, OR 97222-6587
Phone (503) 513-1327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4528 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1154772317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 SE 32ND AVE",
"address_2": "SUITES 110 & 125",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226587",
"telephone_number": "503-513-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 SE 32ND AVE",
"address_2": "SUITES 110 & 125",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226587",
"telephone_number": "503-513-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "ELIZABETH",
"middle_name": "RUTH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.