Brandi L Buckley, PT
Individual provider Active NPI Physical Therapist · Alma, NE
NPI 1306157383 · NPPES record last updated Oct 28, 2014
Key facts
- NPI
- 1306157383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3049 (NE)
- Practice address
- 717 Brown Ave
Alma, NE 68920 - Phone
- (308) 928-3002
- Fax
- (308) 928-2774
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3049 | NE | MD | Counselor |
| 11-02734 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy PA | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-02734 | KS | |
| Physical Therapist | 225100000X | 3049 | NE | Yes |
Addresses
Primary practice location
717 Brown Ave
Alma, NE 68920
Mailing address
2810 W 35TH St
Ste 2
Kearney, NE 68845-2909
Phone (308) 237-7388
Other providers in Alma, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.