Individual provider Active NPI

Lea Buckenmyer, DPT

  • Physical Therapist
  • Mason, OH
National Provider Identifier
1679185557
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018896 Issued in OH
Practice address
2150 Kings Mills Rd
Mason, OH 45040-2400
Phone
(513) 486-2050
Fax
(513) 234-9085
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018896 OH Primary

Addresses

Primary practice location

2150 Kings Mills Rd
Mason, OH 45040-2400

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828002038 OH Practitioner - Physical Therapist in Private Practice 8628495124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

2150 Kings Mills Rd
Mason, OH 45040-2400
Phone (513) 486-2050

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018896OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Aug 31, 2020 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Sep 11, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

1507 Springfield Pike
Cincinnati, OH 45215
Phone (513) 821-6500

746 E Aurora Rd
Ste 7
Macedonia, OH 44056
Phone (330) 908-0039

2150 Kings Mills Rd
Mason, OH 45040
Phone (513) 486-2050

325 N Main St
Ste 100
Springboro, OH 45066
Phone (937) 806-0318

4925 Jackman Rd
Ste 34
Toledo, OH 43613
Phone (567) 318-1000

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1679185557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 KINGS MILLS RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402400",
            "telephone_number": "513-486-2050",
            "fax_number": "513-234-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKENMYER",
        "first_name": "LEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.