Individual provider Active NPI

Katherine Buckley, PT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1710958038
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1930 Issued in NV
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

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT24636CAMDPhysical Therapist
24636CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy Physical Therapist CurrentSince Sep 8, 2023 Accepting new patients
Kimberly Gladfelter Past Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist PastSince Nov 29, 2017 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.

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.

Verify at the official NPI Registry.