Amanda Jo Buckingham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7957 Issued in MN

Practice address

1604 1St St S
Willmar, MN 56201-4243

Phone

(320) 231-5000

Fax

(320) 231-5067

NPI assigned

Sep 24, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: abuckingham437030@direct.centracare.com

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1447446455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014243",
            "telephone_number": "320-231-5000",
            "fax_number": "320-231-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014243",
            "telephone_number": "320-231-5000",
            "fax_number": "320-231-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abuckingham437030@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abuckingham437030@direct.centracare.com",
            "address_1": "1604 1st St S",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562014243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marnie Jo Brooks Steinwand, LMFT
• Tory Brouwer
• Tyler J Brower, DPT
• Courtney Bruyere
• Glenn C Buchanan, MD
• Anne Glynn Buckvold, LICSW
• Amy Jo Buffington, NP-C
• Fern Joy Bursack, PHYSICIAN EXTENDER
• Vickie Lynn Bush, LICSW
• Michele Kay Butler-Fluth, MS, LMFT

• Physical Therapist in Willmar, MN
• Providers in Willmar, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.