Nicole Anne Buckingham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24584 Issued in FL

Practice address

11912 Keating Dr
Tampa, FL 33626-2530

Phone

(813) 551-2019

NPI assigned

Feb 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Warm Hearts Therapy, LLC

  • Occupational Therapist
  • Tampa, FL
  • NPI 1730755463

  Physical Therapist

  Medicare reassignment NPD
• Romtherapy Inc

  • Cardiovascular Disease Physician
  • Brookfield, CT
  • NPI 1285380360

  FL

  Medicare reassignment

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1174763361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 KEATING DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262530",
            "telephone_number": "813-551-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 KEATING DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262530",
            "telephone_number": "813-551-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Buck
• Jenny Lynn Buck, M.D.
• Sherry Buck, CRNA
• Buckenheimer & Bulnes, D.M.D.'S P.a.
• Terry Lee Buckenheimer, DMD
• Jacqueline Neysa Buckle, M.S.
• Dillon Thomas Buckley, M.D.
• James K Buckley, DMD
• Kassandra Buckley
• Kinley Heyns Buckley, DO

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.