Salvador Iyog Budlong III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0010339 Issued in FL

Practice address

1010 Carpenters Way
Lakeland, FL 33809-3926

Phone

(863) 815-0488

NPI assigned

Feb 20, 2007

Last updated

Mar 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quality Care Physical Therapy, Inc.

  dba Quality care physical therapy

  • Physical Therapist
  • Lakeland, FL
  • NPI 1578784922
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1376687442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HUNTERS RUN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338096658",
            "telephone_number": "863-858-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093926",
            "telephone_number": "863-815-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDLONG",
        "first_name": "SALVADOR",
        "middle_name": "IYOG",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0010339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookelyn Buchanon
• Katharine Ann Buck, APRN
• Emily Buckel
• Donna Lee Buckner
• Jean Vano Budlong, PT
• Yesmeli Bueno Bautista
• Mitsu Kaory Bueno, DO
• Ushimbra Juval Buford, M.D.
• Srinivasa Reddy Buggana, M.D.
• Lauren Ann Buglio, APRN

• Physical Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.