Individual provider Active NPI

Matthew C Bugnet, PT, DPT

  • Physical Therapist
  • Winnemucca, NV
National Provider Identifier
1306131412
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2563 Issued in NV
Practice address
325 Hanson St
Winnemucca, NV 89445-3607
Phone
(775) 625-2222
Fax
(775) 625-1131
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2563 NV Primary

Addresses

Primary practice location

325 Hanson St
Winnemucca, NV 89445-3607

Mailing address

325 Hanson St
Winnemucca, NV 89445-3607
Phone (775) 625-2222

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

State licenses

LicenseStateTypeSpecialty
2563NVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1306131412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HANSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453607",
            "telephone_number": "775-625-2222",
            "fax_number": "775-625-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HANSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453607",
            "telephone_number": "775-625-2222",
            "fax_number": "775-625-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGNET",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.