Individual provider Active NPI

Traci Malia Busker, DPT

  • Physical Therapist
  • Warrenton, VA
National Provider Identifier
1477991081
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207986 Issued in VA
Practice address
40 N Hill Dr
Warrenton, VA 20186-2610
Phone
(540) 341-1922
NPI assigned
Jun 6, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207986 VA Primary

Addresses

Primary practice location

40 N Hill Dr
Warrenton, VA 20186-2610

Mailing address

9010 Brink Rd
Gaithersburg, MD 20882-1014
Phone (240) 672-2941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000234 VA Practitioner - Physical Therapist in Private Practice 7113160573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blaser Physical TherapyGroup PAC ID 5092708776, 6 clinicians

Practice addresses (Care Compare)

40 N Hill Dr
Warrenton, VA 20186-2610
Phone (540) 341-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207986VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blaser Physical Therapy Physical Therapist CurrentSince Jun 5, 2013 Accepting new patients

Locations

40 N Hill Dr
Warrenton, VA 20186
Phone (540) 341-1922

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1477991081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 BRINK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208821014",
            "telephone_number": "240-672-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N HILL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862610",
            "telephone_number": "540-341-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKER",
        "first_name": "TRACI",
        "middle_name": "MALIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.