Active NPI
Katherine Buckley, PT
- Physical Therapist
- Reno, NV
National Provider Identifier
1710958038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1930
- Practice address
- 1561 S Virginia St
Reno, NV 89502-2819 - Phone
- (775) 384-1400
- Fax
- (775) 384-1367
- NPI assigned
- Jan 27, 2006
- 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 | PT24636 | CA | |
| Physical Therapist | 225100000X | 1930 | NV | Primary |
Addresses
Primary practice location
1561 S Virginia St
Reno, NV 89502-2819
Mailing address
16560 Wedge Pkwy
Suite 200a
Reno, NV 89511-3318
Phone (775) 384-1400
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 |
|---|---|---|---|
| PT24636 | CA | MD | Physical Therapist |
| 24636 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Kimberly Gladfelter | Past | Accepting new patients | |
| Physiofit Physical Therapy & Wellness, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
16560 Wedge Pkwy
Ste 200A
Reno, NV 89511
Phone (775) 384-1400
1561 S Virginia St
Reno, NV 89502
Phone (775) 322-4555
1699 S Virginia St
Ste 101
Reno, NV 89502
Phone (775) 322-4555
1575 Robb Dr
Ste 4
Reno, NV 89523
Phone (775) 827-3777
Organizations & group practices 3
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.
-
- Physical Therapist
- Reno, NV
- NPI 1275667768
-
- Physical Therapy Clinic/Center
- Los Altos, CA
- NPI 1881650505
-
- Orthopedic Physical Therapist
- Los Altos, CA
- NPI 1326549965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1710958038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16560 WEDGE PKWY",
"address_2": "SUITE 200A",
"city": "RENO",
"state": "NV",
"postal_code": "895113318",
"telephone_number": "775-384-1400",
"fax_number": "775-384-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 S VIRGINIA ST",
"city": "RENO",
"state": "NV",
"postal_code": "895022819",
"telephone_number": "775-384-1400",
"fax_number": "775-384-1367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "KATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24636",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.