Kendra Noelle Bujnovsky, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1360426 Issued in TX

Practice address

747 Frontage Rd
Unit B-200
Bastrop, TX 78602

Phone

(512) 920-6512

NPI assigned

May 13, 2022

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Physical Therapist

  NPD

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1649917485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17729 POWDER CREEK DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534629",
            "telephone_number": "775-846-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 FRONTAGE RD",
            "address_2": "UNIT B-200",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "78602",
            "telephone_number": "512-920-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUJNOVSKY",
        "first_name": "KENDRA",
        "middle_name": "NOELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360426",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Brown, EMT
• Lakeisha Brown, LCSW
• BTX Emergency Physicians, PLLC (Ally Medical Emergency Room Bastrop)
• Austin Buck, PHARMD
• Barbara E Buie, LCSW
• Karissa Bunkley, DPT
• Butler & Burns Ear Nose & Throat (Austin Ear Nose & Throat Clinic)
• Chad Everette Byler, D.D.S.
• Ronald John Caldwell, DDS
• Lisa Nicole Calliham

• Physical Therapist in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.