Individual provider Active NPI

George Buller, P.T.

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1376680231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04554 Issued in LA
Practice address
626 Verot School Rd
Suite E
Lafayette, LA 70508-5094
Phone
(337) 406-0808
Fax
(337) 406-0848
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 04554 LA Primary

Addresses

Primary practice location

626 Verot School Rd
Suite E
Lafayette, LA 70508-5094

Mailing address

626 Verot School Rd
Suite E
Lafayette, LA 70508-5094
Phone (337) 406-0808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000483 LA Practitioner - Physical Therapist in Private Practice 8527245919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosewood Rehabilitation, LLCGroup PAC ID 3375594435, 3 clinicians

Practice addresses (Care Compare)

626 Verot School Rd
Suite E
Lafayette, LA 70508-5094
Phone (337) 406-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Rehabilitation, LLC Physical Therapist CurrentSince Aug 11, 2016 Accepting new patients
Rosewood Rehabilitation Physical Therapist Past Accepting new patients

Locations

626 Verot School Rd
Ste E
Lafayette, LA 70508
Phone (337) 406-0808

1604 Kerr St
Ste 105
Opelousas, LA 70570
Phone (337) 678-1745

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376680231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 VEROT SCHOOL RD",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085094",
            "telephone_number": "337-406-0808",
            "fax_number": "337-406-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 VEROT SCHOOL RD",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085094",
            "telephone_number": "337-406-0808",
            "fax_number": "337-406-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "GEORGE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

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.
  • 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.