Jessica Rhea Buckler

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

P12009 Issued in NC

Practice address

18047 W Catawba Ave Ste 203
Cornelius, NC 28031-5688

Phone

(704) 896-8688

Fax

(704) 896-7975

NPI assigned

Mar 13, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lake Norman Children'S Therapy I, Inc

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1972383404

  Pediatrics

  NPD
• Speech Discovery for Kids, Inc.

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1093849341

  Physical Therapist

  NPD

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1184895591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18047 W CATAWBA AVE STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315688",
            "telephone_number": "704-896-8688",
            "fax_number": "704-896-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18047 W CATAWBA AVE STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315688",
            "telephone_number": "704-896-8688",
            "fax_number": "704-896-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "JESSICA",
        "middle_name": "RHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P12009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184895591",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aalasa Brooks
• Amber Hartman Brown, PT, DPT
• Frieda Brown, PH.D.
• Pamela Brown
• Scott Buchanan Jr., DO
• Elizabeth Joyce Bullard
• Connor Burk, PT
• Parker Burns
• Jana Kaye Burson, M.D.
• Anthony W Burwell, OWNER

• Pediatric Physical Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.