Active NPI
Brett Buckner, MOT, MAED, OTR, ATC
- Occupational Therapist
- Eugene, OR
National Provider Identifier
1255846002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2951 Coburg Rd
Eugene, OR 97408-5034 - Phone
- (541) 342-1755
- NPI assigned
- Dec 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2951 Coburg Rd
Eugene, OR 97408-5034
Mailing address
4253 Marcum LN
Eugene, OR 97402-1743
Other practice location 1
600 Ranch Rd
Reedsport, OR 97467-1795
Phone (541) 271-2171
Other practice location 2
1010 11th Ave SW
Albany, OR 97321-2019
Phone (541) 768-4848
Other practice location 3
560 NE F St Ste A
#114
Grants Pass, OR 97526
Phone (540) 320-9259
Other practice location 4
834 S Front St
Medford, OR 97502-2726
Phone (541) 664-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1255846002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4253 MARCUM LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974021743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974085034",
"telephone_number": "541-342-1755"
}
],
"practiceLocations": [
{
"address_1": "600 Ranch Rd",
"address_purpose": "LOCATION",
"city": "Reedsport",
"state": "OR",
"postal_code": "974671795",
"country_code": "US",
"telephone_number": "541-271-2171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 11th Ave SW",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973212019",
"country_code": "US",
"telephone_number": "541-768-4848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 NE F St Ste A",
"address_2": "#114",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "97526",
"country_code": "US",
"telephone_number": "540-320-9259",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "834 S Front St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975022726",
"country_code": "US",
"telephone_number": "541-664-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKNER",
"first_name": "BRETT",
"credential": "MOT, MAED, OTR, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-01",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.