Active NPI
Active Physical Therapy Solutions PC
- Physical Therapist
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028390
- Legal business name
- ACTIVE PHYSICAL THERAPY SOLUTIONS PC
- Practice address
- 40 W Lake Ave
Auburn, NY 13021-3724 - Phone
- (315) 515-3117
- Fax
- (315) 515-3121
- NPI assigned
- Feb 12, 2009
- Last updated
- May 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale J Buchberger, PT
- Title
- Owner
- Phone
- (315) 515-3117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008418 | NY | |
| Physical Therapist | 225100000X | 028390 | NY | Primary |
Addresses
Primary practice location
40 W Lake Ave
Auburn, NY 13021-3724
Mailing address
4567 Crossroads Park Dr
Liverpool, NY 13088-3589
Phone (315) 295-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40 Westlake Ave
Auburn, NY 13021
Phone (315) 515-3117
91 Columbus St
Auburn, NY 13021
Phone (315) 255-3944
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopedic Physical Therapist
- Auburn, NY
- NPI 1407865280
-
- Physical Therapist
- Auburn, NY
- NPI 1427695006
-
- Orthopedic Physical Therapist
- East Syracuse, NY
- NPI 1124164496
-
- Family Medicine Physician
- Auburn, NY
- NPI 1629189816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243296000000",
"number": "1780823807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4567 CROSSROADS PARK DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883589",
"telephone_number": "315-295-2100",
"fax_number": "315-295-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 W LAKE AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213724",
"telephone_number": "315-515-3117",
"fax_number": "315-515-3121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE PHYSICAL THERAPY SOLUTIONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2009-05-26",
"status": "A",
"authorized_official_last_name": "BUCHBERGER",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-515-3117",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008418",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.