Nathanael Owen Bungard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032461 Issued in PA

Practice address

638 Rostraver Rd
Ste 104
Belle Vernon, PA 15012

Phone

(724) 243-3728

Fax

(724) 320-2254

NPI assigned

Aug 12, 2024

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy and Wellness LLCGroup PAC ID 6305275314, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elite Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Rostraver TWP, PA
  • NPI 1104465343

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1558192575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "address_2": "STE 104",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-243-3728",
            "fax_number": "724-320-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD",
            "address_2": "STE 104",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-243-3728",
            "fax_number": "724-320-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGARD",
        "first_name": "NATHANAEL",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Francis Brockmeyer, MD
• James Locke Brooks III, MD
• Melissa Marie Brooks, PHYSICAL THERAPIST
• Lindsey M Buches-Cann, DPT
• Crystal A Buchmann, MS
• BVCC Inc
• Jennifer Melnick Carota, LPC
• Angelina Cerro
• Check Eye Group, P.C.
• Chirocorrection LLC

• All providers in Belle Vernon, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.