Mark Buchholz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2848 Plainfield Rd
Joliet, IL 60435-1167

Phone

(815) 436-1444

Fax

(815) 436-9814

NPI assigned

Dec 26, 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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Oakland College of Medicine and Surgery, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brady, P.C.Group PAC ID 2163508227, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brady, P.C.

  • Physical Therapy Clinic/Center
  • Bolingbrook, IL
  • NPI 1598940827

  IL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Newsome Rehabilitation Center

  • Occupational Therapist
  • Joliet, IL
  • NPI 1881814986

  Physical Therapist

  NPD (past)
• Reading Berks Physical Therapy LLC

  • Physical Therapist
  • Wyomissing, PA
  • NPI 1609841386
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629133020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351167",
            "telephone_number": "815-436-1444",
            "fax_number": "815-436-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351167",
            "telephone_number": "815-436-1444",
            "fax_number": "815-436-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BTD Rehab LLC
• Bubblepack Pharmacy Inc
• Bubblepack Pharmacy, Inc
• Cara Buchanan
• Erica Lynn Buchenau, OTR/L
• Deepika Buchupalli, M.D.
• Theresa Bucy, APN, NP-C
• Karon M Buis
• Caitlin Joy Bulthuis, PHARMD
• Bunatalk Therapy, LLC

• All providers in Joliet, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.