Blair Ashley Buder, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40760 Issued in CA

Practice address

4425 Jamboree Road
Suite 170
Newport Beach, CA 92660

Phone

(949) 228-5820

Fax

(949) 502-6490

NPI assigned

Dec 27, 2013

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 OR

Enrollment records 1

Medicare enrollment (NPD)

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.

• Chehalem Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Newberg, OR
  • NPI 1164497111
  Medicare reassignment NPD

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1285055897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE ROAD",
            "address_2": "SUITE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-228-5820",
            "fax_number": "949-502-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE ROAD",
            "address_2": "SUITE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-228-5820",
            "fax_number": "949-502-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDER",
        "first_name": "BLAIR",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Brunson, MA, MFT
• Gary Bruss, PH.D.
• Jeffrey Bruss, M.D.
• Brooke Ann Buccola, PSYD, LMFT
• Linda Joyce Buck, NP
• Floyd Buen, M.D.
• Cheryl-Lynn Marie Bugailiskis, MD
• Au H Bui, MD
• Derrick Bui
• Linda Mai Bui, OD

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.