Audra Danielle Buechler

Key facts

NPI

1790214435

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

99079865A (IN)

Practice address

2701 Chestnut Station CT
Louisville, KY 40299-6395

Phone

(800) 335-1060

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2017.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1790214435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 S SAINT ANTHONY RD W",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475428804",
            "telephone_number": "812-631-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHESTNUT STATION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996395",
            "telephone_number": "800-335-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECHLER",
        "first_name": "AUDRA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "99079865A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

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• Chloe Buday, RBT
• Ellen Taylor Buddeke, LCSW
• Buechel Rehabilitation and Occupational Therapy Center
• Julia Marie Buechler
• Nancy Deckel Buechler, CRNA
• Joseph William Buecker, MD
• Peter J Buecker, MD
• Rachel Buehner

All providers in Louisville, KY · Physical Therapy Assistant in Kentucky