Individual provider Active NPI

Danielle Marie Bukula, PT, DPT

  • Physical Therapist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1336437508
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01409700 Issued in NJ
Practice address
798 Route 539 Ste 2
Little Egg Harbor TWP, NJ 08087-4203
Phone
(609) 294-4720
Fax
(609) 294-4722
NPI assigned
Jul 21, 2011
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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 40QA01409700 NJ Primary

Addresses

Primary practice location

798 Route 539 Ste 2
Little Egg Harbor TWP, NJ 08087-4203

Mailing address

798 Route 539 Ste 2
Little Egg Harbor TWP, NJ 08087-4203
Phone (609) 294-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000266 NJ Practitioner - Physical Therapist in Private Practice 1557512746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

798 Route 539
BLDG 2
Little Egg Harbor TWP, NJ 08087-4203
Phone (609) 294-4720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Sep 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Sep 1, 2023 Accepting new patients

Locations

798 Route 539
Bldg 2
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-4720

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1336437508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 ROUTE 539 STE 2",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874203",
            "telephone_number": "609-294-4720",
            "fax_number": "609-294-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROUTE 539 STE 2",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874203",
            "telephone_number": "609-294-4720",
            "fax_number": "609-294-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKULA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01409700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.