Individual provider Active NPI

Ansley Bucknam, PT, DPT

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1730077819
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020596 Issued in CO
Practice address
7405 W Arizona PL
Lakewood, CO 80232-5416
Phone
(303) 720-4244
Fax
(303) 353-1779
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 PTL.0020596 CO Primary

Addresses

Primary practice location

7405 W Arizona PL
Lakewood, CO 80232-5416

Mailing address

3658 E Easter Cir S
Centennial, CO 80122-2033
Phone (843) 901-0985

Other practice location 1

6595 S Dayton St Ste 1700
Greenwood Village, CO 80111-6189
Phone (303) 335-0214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716001605 CO Practitioner - Physical Therapist in Private Practice 8729593918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roaming Rehab LLCGroup PAC ID 4082015235, 21 clinicians

Practice addresses (Care Compare)

Lakewood, CO 80232
Phone (716) 444-7751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roaming Rehab LLC Physical Therapist CurrentSince Jun 24, 2025 Accepting new patients
Next Level Physical Therapy PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1730077819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 E EASTER CIR S",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222033",
            "telephone_number": "843-901-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 W ARIZONA PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325416",
            "telephone_number": "303-720-4244",
            "fax_number": "303-353-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6595 S Dayton St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801116189",
            "country_code": "US",
            "telephone_number": "303-335-0214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNAM",
        "first_name": "ANSLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.