Kimberly Ann Buchanan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

12105 Ambassador Dr
Colorado Springs, CO 80921-3642

Phone

(719) 481-9494

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1578851556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 AMBASSADOR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213642",
            "telephone_number": "719-481-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12105 AMBASSADOR DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213642",
            "telephone_number": "719-481-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Brynestad-Heuser, DC
• BSLC II
• Bstill Integrative Counseling Inc
• Amarise Buanteo
• Brian Anthony Buccellato, D.D.S.
• Kodi Buchanan
• Steven Matthew Buchanan, OD
• Emily Kathryn Buche, OT
• Erica L Bucher, MOTR
• Linda M Bucher, NP-C

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.