Individual provider Active NPI

Christopher A Buckner, MPT

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1740365865
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-10273 Issued in OH
Practice address
2655 Commons Blvd
Beavercreek, OH 45431
Phone
(937) 320-9131
Fax
(937) 320-9132
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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 PT-10273 OH Primary

Addresses

Primary practice location

2655 Commons Blvd
Beavercreek, OH 45431

Mailing address

445 Eastview Dr
Clayton, OH 45315-9768
Phone (937) 832-8377

Other identifiers 3

IdentifierTypeStateIssuer
000000307161OtherOKANTHEM
0108341MedicaidOH
38261719350OtherOHWORKERS COMP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002948 OH Practitioner - Physical Therapist in Private Practice 2365799327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
Professional Therapeutic Services, Inc.Group PAC ID 1355253337, 3 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, 750 clinicians

Practice addresses (Care Compare)

1102 W Main St
Suite B
Troy, OH 45373-2504
Phone (937) 332-9800

125 Bridge St
Suite 100
Piqua, OH 45356-3805
Phone (937) 615-2120

1498 N Broadway St
Greenville, OH 45331-2454
Phone (937) 548-9495

7109 Hamilton Mason Rd
Suite a
West Chester, OH 45069-1784
Phone (513) 759-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-10273OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rehabilitation Systems, Inc. CurrentSince Jun 10, 2019 Accepting new patients
Keystone Rehabilitation Systems Inc Physical Therapist CurrentSince Jun 10, 2019 Accepting new patients
Physiotherapy Associates, Inc Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Professional Therapeutic Services, Inc. Physical Therapist CurrentSince Jun 22, 2018 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2018 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Current Accepting new patients

Locations

1498 N Broadway St
Greenville, OH 45331
Phone (937) 458-9495

8412 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 235-0068

286 N Main St
Monroe, OH 45050
Phone (513) 539-3488

125 Bridge St
Ste 100
Piqua, OH 45356
Phone (937) 615-2120

1303 W 1st St
Springfield, OH 45504
Phone (847) 485-3481

3148 W Central Ave
Ste A
Toledo, OH 43606
Phone (419) 531-2690

7109 Hamilton Mason Rd
Ste A
West Chester, OH 45069
Phone (513) 759-6494

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1740365865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 EASTVIEW DR",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453159768",
            "telephone_number": "937-832-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COMMONS BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "937-320-9131",
            "fax_number": "937-320-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-10273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000307161",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "38261719350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.