Joseph Michael Bukosky

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012165L Issued in PA

Practice address

1229 Warm Springs Ave
Huntingdon, PA 16652-2350

Phone

(814) 643-4210

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1396429734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MULLIGAN DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166489288",
            "telephone_number": "814-932-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-643-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOSKY",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012165L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L Brown, CRNP
• Bruce M Lidston and Allen B Ettenger Partners (Huntingdon Pediatric Associates)
• Bruce M Lidston and Allen B Ettenger Partners (Huntingdon Pediatric Associates)
• Daniel Bryson
• Kitina Kay Bryson
• Hannah Wilder Burfoot, PT, DPT
• Jessica Burkhart, PTA
• Matthew Butler, PHARMD
• Richard S. Buza, M.D.
• Devon Cantalope

• Physical Therapist in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.