Individual provider Active NPI

Deborah Jean Buzzard, PT

  • Physical Therapist
  • Fort Defiance, AZ
National Provider Identifier
1558537043
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05000816A Issued in IN
Practice address
Corner of Route N12 and N7
Fort Defiance Indian Hospital
Fort Defiance, AZ 96504-0649
Phone
(928) 729-8132
Fax
(928) 729-8019
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05000816A IN Primary
Physical Therapist 225100000X 2358 SC

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance Indian Hospital
Fort Defiance, AZ 96504-0649

Mailing address

131 Balbriggan Dr
Goose Creek, SC 29445-5756
Phone (843) 863-0416

Other names 1

  • Miss Deborah Jean Clark Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Fort Defiance Hospital Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1558537043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BALBRIGGAN DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455756",
            "telephone_number": "843-863-0416",
            "fax_number": "843-863-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "965040649",
            "telephone_number": "928-729-8132",
            "fax_number": "928-729-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZARD",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05000816A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CLARK",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.