Individual provider Active NPI

Cheryl A Busby, P.T.

  • Physical Therapist
  • Springfield, LA
National Provider Identifier
1164516241
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03894 Issued in LA
Practice address
31545 Highway 22 Ste a
Springfield, LA 70462-7405
Phone
(225) 414-0550
Fax
(225) 228-4256
NPI assigned
Oct 3, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03894 LA Primary

Addresses

Primary practice location

31545 Highway 22 Ste a
Springfield, LA 70462-7405

Mailing address

PO Box 184
Springfield, LA 70462-0184
Phone (225) 414-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120702000443 LA Practitioner - Physical Therapist in Private Practice 6305001009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31545 Hwy 22
Suite a
Springfield, LA 70462-7405
Phone (985) 507-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT03894LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Physical Therapy LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Triton Healthcare, Inc. Physical Therapist Past Accepting new patients
Triton Healthcare Past Accepting new patients

Locations

31545 Highway 22
Ste A
Springfield, LA 70462
Phone (225) 414-0550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1164516241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704620184",
            "telephone_number": "225-414-0550",
            "fax_number": "225-228-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31545 HIGHWAY 22 STE A",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704627405",
            "telephone_number": "225-414-0550",
            "fax_number": "225-228-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT03894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.