Anthony Joseph Bukowski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30321 Issued in FL

Practice address

718 22ND Ave S
St Petersburg, FL 33705-3004

Phone

(727) 894-5125

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1538744909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 JACARANDA DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774545",
            "telephone_number": "813-854-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 22ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053004",
            "telephone_number": "727-894-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOWSKI",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M. Buhrman Jr. Jr., PSYD.
• Nhu Van Bui, MD
• Building Blocks of Speech Therapy, Inc.
• Building Blocks of Speech Therapy, Inc.
• Noaa Bujanover, RDN, CDCES
• Fernando Jose Bula Rudas, M.D.
• Mendee V Bull -Ligon, D.D.S.
• William D. Bullington, M.D.
• Charnae Nykole Bullock
• Amy K Bumgarner, ARNP

• Physical Therapy Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.