Active NPI
Justin Budich, PT DPT
- Orthopedic Physical Therapist
- Bensalem, PA
National Provider Identifier
1306050679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT018645
- 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.
-
- Physical Therapist
- Newtown, PA
- NPI 1386605137
NPD (past) Orthopedic
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Sports Care Specialists Inc | Orthopedic | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT018645 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.