Laura Buckholz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035129 Issued in NY

Practice address

507 W 147TH St
Apt 26
New York, NY 10031-4432

Phone

(917) 684-9873

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1174870208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W 147TH ST",
            "address_2": "APT 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W 147TH ST",
            "address_2": "APT 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314432",
            "telephone_number": "917-684-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKHOLZ",
        "first_name": "LAURA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Buckanavage
• Laurie Anne Buckenberger, NP
• Lindsay Buckenham, LMSW
• Latanya Buckham
• Adam Buckholz, M.D.
• Ian David Buckingham, MD
• Barnett Bucklam, D.D.S
• Ronni Sue Bucklan, D.D.S.
• Aaron Buckland, MD
• Melanie Buckland, PT, DPT, ATP

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.