Active NPI
Anna Katie Buckner, DPT
- Physical Therapist
- Chandler, AZ
National Provider Identifier
1689861338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13331
- Practice address
- 1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223 - Phone
- (480) 821-1997
- Fax
- (480) 821-1887
- NPI assigned
- Sep 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AR3027 | AR | |
| Orthopedic Physical Therapist | 2251X0800X | AR3027 | AR | |
| Physical Therapist | 225100000X | 13331 | AZ | Primary |
Addresses
Primary practice location
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Mailing address
1076 W Chandler Blvd Ste 103
Chandler, AZ 85224-5223
Phone (480) 821-1997
Other names 1
- Anna Katie Elledge
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13331 | AZ | MD | Pediatric Pulmonology Physician |
| AR3027 | AR | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1689861338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 W CHANDLER BLVD STE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245223",
"telephone_number": "480-821-1997",
"fax_number": "480-821-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 W CHANDLER BLVD STE 103",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245223",
"telephone_number": "480-821-1997",
"fax_number": "480-821-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "ANNA",
"middle_name": "KATIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "AR3027",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AR",
"license": "AR3027",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "ELLEDGE",
"middle_name": "KATIE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.