Mark C Buckingham, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03234 Issued in KS

Practice address

11408 W 135TH St
Overland Park, KS 66221-9398

Phone

(913) 681-9909

Fax

(913) 681-9906

NPI assigned

Jul 20, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northland Physical Therapy & Rehab Services, Inc

  • Physical Therapist
  • N Kansas City, MO
  • NPI 1740273218
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1578583183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15415 NEWTON DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232847",
            "telephone_number": "913-706-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219398",
            "telephone_number": "913-681-9909",
            "fax_number": "913-681-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM NETWORK",
            "identifier": "31489",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31489037",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "31489",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuja Buch, DDS
• Christopher Scott Buchanan, R.N., C.R.N.A.
• Andrea Dawn Buchbaum, O.D.
• Kenneth Allan Buchwach, M.D.
• James Buckhanan
• Hannah Buckland
• Martin S. Buckman, M.D.
• Matthew J Buckneberg, CRNA
• Christopher Gene Budig, D.D.S.
• Kimberly A Buehler, PA-C

• Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.