Candice Bukevicz, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007548L Issued in PA

Practice address

63 Dallas Village Shopping Ctr
Dallas, PA 18612-1231

Phone

(570) 310-1881

NPI assigned

Jul 18, 2006

Last updated

Sep 24, 2026By 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

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1407874084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 DALLAS VILLAGE SHOPPING CTR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121231",
            "telephone_number": "570-310-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Welles St",
            "address_purpose": "LOCATION",
            "city": "Forty Fort",
            "state": "PA",
            "postal_code": "187044968",
            "country_code": "US",
            "telephone_number": "570-714-4171",
            "fax_number": "570-714-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKEVICZ",
        "first_name": "CANDICE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007548L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara A. Brezinski-Clark, D.O.
• Laurie Brogan, PT, DPT, CEEAA, GCS
• Noell Ann Brooks, DMD
• Anthony Joseph Bruno Jr., DPT
• Bradley Evans Bryant Jr., D.C.
• Patricia A Buzinkai, PA-C
• Thomas W Byron, M.D.
• Dwin E Campbell, D.O.
• Vincent L. Carolan, LCSW, LPC
• Kimberly Carpenter, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.