Individual provider Active NPI

Justin Budich, PT DPT

  • Orthopedic Physical Therapist
  • Bensalem, PA
National Provider Identifier
1306050679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT018645 Issued in PA
Practice address
3333 Street Rd
One Greenwood SQ Ste 320 Comprehensive Sports Care Spec
Bensalem, PA 19020
Phone
(215) 638-3597
Fax
(215) 638-7430
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sports Care Specialists Inc Orthopedic PastSince Jul 28, 2017 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT018645 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

3333 Street Rd
One Greenwood SQ Ste 320 Comprehensive Sports Care Spec
Bensalem, PA 19020

Mailing address

1633 Neshaminy Valley Drive
Bensalem, PA 19020
Phone (443) 812-4764

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306050679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 NESHAMINY VALLEY DRIVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "443-812-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 STREET RD",
            "address_2": "ONE GREENWOOD SQ STE 320 COMPREHENSIVE SPORTS CARE SPEC",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-638-3597",
            "fax_number": "215-638-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDICH",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT018645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.