Gwendolyn Buchanan, M.S., P.T., W.C.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008625L Issued in PA

Practice address

1181 Long Lane Rd
Kutztown, PA 19530

Phone

(610) 756-0071

NPI assigned

Aug 29, 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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pivot Physical Therapy of Pennsylvania LLC 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488

  PA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1508050808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LONG LANE RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309424",
            "telephone_number": "610-756-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LONG LANE RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "19530",
            "telephone_number": "610-756-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "GWENDOLYN",
        "credential": "M.S., P.T., W.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008625L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Place Therapeutic Services Inc.
• Holly Marie Biggs, MS, LAT, ATC
• Bio-Medical Applications of Pennsylvania, Inc.
• James Calvin Blankenhorn, D.M.D.
• John Patrick Boyle, D.M.D.
• Geovanni Wesley Charles, LPC
• Joanne Cohen, PH.D.
• Community Womens Care of Berks County
• Comprehensive Psychological & Educational Servies LTD.
• Concern-Professional Services for Children, Youth & Families

• All providers in Kutztown, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.