Organization Active NPI

Kubb Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Bowie, MD
National Provider Identifier
1295754224
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
14130 Issued in MD
Legal business name
KUBB PHYSICAL THERAPY
Practice address
4000 Mitchellville Rd
Suite 214
Bowie, MD 20716-3104
Phone
(301) 464-6425
Fax
(301) 464-1333
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis H Buchman, P.T.
Title
Owner/Physical Therapist
Phone
(301) 464-6425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 14130 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd
Suite 214
Bowie, MD 20716-3104

Mailing address

4000 Mitchellville Rd
Suite 214
Bowie, MD 20716-3104
Phone (301) 464-6425

National Provider Directory

National Provider Directory

Locations

4000 Mitchellville Rd
Ste 214
Bowie, MD 20716
Phone (301) 464-1333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1295754224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 214",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-464-6425",
            "fax_number": "301-464-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 214",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-464-6425",
            "fax_number": "301-464-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "BUCHMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "301-464-6425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.