Active NPI
Cherisse Buddy
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1609240381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29819
- Practice address
- 6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218 - Phone
- (800) 998-5182
- Fax
- (855) 322-5653
- NPI assigned
- Nov 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29819 | FL | Primary |
| Physical Therapist | 225100000X | 1254260 | TX |
Addresses
Primary practice location
6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218
Mailing address
6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29819 | FL | MD | Physical Therapist |
| 1254260 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1609240381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 PARK OF COMMERCE BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334878218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 PARK OF COMMERCE BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334878218",
"telephone_number": "800-998-5182",
"fax_number": "855-322-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDY",
"first_name": "CHERISSE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29819",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1254260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.