Individual provider Active NPI

Emily Stonestreet Buffum, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1558381673
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8303 Issued in NC
Practice address
200 Horizon Dr
Suite 115
Raleigh, NC 27615-4946
Phone
(919) 875-1932
Fax
(919) 875-1933
NPI assigned
Jul 20, 2006
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 8303 NC Primary

Addresses

Primary practice location

200 Horizon Dr
Suite 115
Raleigh, NC 27615-4946

Mailing address

200 Horizon Dr
Suite 115
Raleigh, NC 27615-4946
Phone (919) 875-1932

Other identifiers 1

IdentifierTypeStateIssuer
56-2280143OtherNCPROVIDER TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8303NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Wellness Center, LLC Physical Therapist PastSince Apr 25, 2013 Accepting new patients

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1558381673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154946",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HORIZON DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154946",
            "telephone_number": "919-875-1932",
            "fax_number": "919-875-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFUM",
        "first_name": "EMILY",
        "middle_name": "STONESTREET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAX ID",
            "identifier": "56-2280143",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.