Active NPI
John Buczkowski
- Physical Therapist
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15453
- Practice address
- 801 Cox Rd
Gastonia, NC 28054-3453 - Phone
- (704) 867-7455
- NPI assigned
- Feb 6, 2015
- 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 | P15453 | NC | Primary |
Addresses
Primary practice location
801 Cox Rd
Gastonia, NC 28054-3453
Mailing address
257 Marshall Dr
Pittsburgh, PA 15235-4347
Phone (412) 999-0638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients |
Locations
3611 Mt Holly Huntersville Rd
Ste 204
Charlotte, NC 28216
Phone (980) 256-3171
10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351
970 Branchview Dr NE
Ste 160
Concord, NC 28025
Phone (704) 782-1322
801 Cox Rd
Gastonia, NC 28054
Phone (704) 867-7455
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
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
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1669432175
-
- Physical Therapy Clinic/Center
- Marion, NC
- NPI 1013912732
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Rehabilitation Clinic/Center
- Cary, NC
- NPI 1508478918
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1760873129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 MARSHALL DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152354347",
"telephone_number": "412-999-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543453",
"telephone_number": "704-867-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCZKOWSKI",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.