Active NPI
David James Buckner, PT
- Physical Therapist
- Slidell, LA
National Provider Identifier
1417389685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04989
- Practice address
- 200 N Military Rd
Slidell, LA 70461-1624 - Phone
- (985) 641-2996
- Fax
- (985) 639-8014
- NPI assigned
- Jul 30, 2013
- 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 | 04989 | LA | Primary |
Addresses
Primary practice location
200 N Military Rd
Slidell, LA 70461-1624
Mailing address
2965 Gause Blvd E
Slidell, LA 70461-4154
Phone (985) 641-2996
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1417389685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614154",
"telephone_number": "985-641-2996",
"fax_number": "985-639-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MILITARY RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704611624",
"telephone_number": "985-641-2996",
"fax_number": "985-639-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-30",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "04989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.