Active NPI
Christopher A Buckner, MPT
- Physical Therapist
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-10273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000307161 | Other | OK | ANTHEM |
| 0108341 | Medicaid | OH | |
| 38261719350 | Other | OH | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-10273 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rehabilitation Systems, Inc. | Current | Accepting new patients | |
| Keystone Rehabilitation Systems Inc | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Professional Therapeutic Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Current | 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.
-
- Physical Therapy Clinic/Center
- Greenville, OH
- NPI 1235174772
Physical Therapist
-
- Physical Therapist
- Beavercreek, OH
- NPI 1952348419
-
- Physical Therapy Clinic/Center
- Piqua, OH
- NPI 1023686979
Physical Therapist
-
- Physical Therapist
- Toledo, OH
- NPI 1467819805
-
- Physical Therapy Clinic/Center
- Butler, PA
- NPI 1336878941
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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.