Active NPI
Thomas Buzbee, PT
- Physical Therapist
- Osage Beach, MO
National Provider Identifier
1396338406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2021005977
- Practice address
- 872 College Blvd # 8408
Osage Beach, MO 65065-8408 - Phone
- (573) 302-0900
- NPI assigned
- Feb 19, 2021
- Last updated
- Feb 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2021005977 | MO | Primary |
Addresses
Primary practice location
872 College Blvd # 8408
Osage Beach, MO 65065-8408
Mailing address
35 Enid LN
Camdenton, MO 65020-2452
Phone (405) 207-3871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021005977 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Regional Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lake Regional Orthopedics
- Durable Medical Equipment & Medical Supplies
- Lebanon, MO
- NPI 1578125324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1396338406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ENID LN",
"city": "CAMDENTON",
"state": "MO",
"postal_code": "650202452",
"telephone_number": "405-207-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 COLLEGE BLVD # 8408",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650658408",
"telephone_number": "573-302-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZBEE",
"first_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021005977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.