Active NPI
Cory Buice, DPT
- Physical Therapist
- Douglasville, GA
National Provider Identifier
1174828073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010148
- Practice address
- 3614 Highway 5
Douglasville, GA 30135-2314 - Phone
- (770) 489-9332
- NPI assigned
- Jan 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 010148 | GA | Primary |
Addresses
Primary practice location
3614 Highway 5
Douglasville, GA 30135-2314
Mailing address
3614 Highway 5
Douglasville, GA 30135-2314
Phone (770) 489-9332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110217000584 | GA | Practitioner - Physical Therapist in Private Practice | 5698956084 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Mark a Ellis, MD, PC | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Jorge a. Bueno Chiropractic LLC | Past | Accepting new patients |
Locations
4700 Nelson Brogdon Blvd
Ste 240
Buford, GA 30518
Phone (770) 271-3188
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
Organizations & group practices 5
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bogart, GA
- NPI 1841261294
GA
-
- Physical Therapy Clinic/Center
- Cartersville, GA
- NPI 1114344819
Physical Therapist
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Nutrition Chiropractor
- Acworth, GA
- NPI 1962679340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1174828073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3614 HIGHWAY 5",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352314",
"telephone_number": "770-489-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 HIGHWAY 5",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352314",
"telephone_number": "770-489-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUICE",
"first_name": "CORY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "010148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.