Kailyn Buckley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-00003184 Issued in DE

Practice address

401 S Dupont Blvd
Milford, DE 19963-1787

Phone

(302) 839-0900

Fax

(302) 839-0901

NPI assigned

Aug 14, 2014

Last updated

Feb 29, 2016By the provider in NPPES

Sex

Female

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.

• Old Towne Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1184971780
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1396144473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631787",
            "telephone_number": "302-839-0900",
            "fax_number": "302-839-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S DUPONT BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631787",
            "telephone_number": "302-839-0900",
            "fax_number": "302-839-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "KAILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-00003184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Breasure
• Bonnie L. Breeding, CFNP
• Brett Elliott MD PA
• Michelle Lynn Bretzius, D.O.
• Luisa Brito, MSW
• Julie Denice Bunting, FNP-BC
• Lucinda K Bunting, DMD
• Sheree Burke
• Hayley C Burnheimer
• Dorrice Burns, OTR

• Physical Therapist in Milford, DE
• Providers in Milford, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.