Active NPI
Kenneth R Buchanan, MPT
- Physical Therapist
- Delray Beach, FL
National Provider Identifier
1790952315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24030
- Practice address
- 13550 Jog Rd
Suite 100
Delray Beach, FL 33446-3808 - Phone
- (561) 496-5144
- NPI assigned
- May 13, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025506-1 | NY | |
| Physical Therapist | 225100000X | 20239 | MD | |
| Physical Therapist | 225100000X | CP053589T | NJ | |
| Physical Therapist | 225100000X | PT24030 | FL | Primary |
Addresses
Primary practice location
13550 Jog Rd
Suite 100
Delray Beach, FL 33446-3808
Mailing address
5206 Daybrook Cir Apt 150
Rosedale, MD 21237-5061
Phone (954) 654-0617
Other practice location 1
7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20239 | MD | MD | Clinical Social Worker |
| CP053589T | NJ | MD | Physical Therapist |
| 025506-1 | NY | MD | Physical Therapist |
Organizations & group practices 1
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": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1790952315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 DAYBROOK CIR APT 150",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212375061",
"telephone_number": "954-654-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 JOG RD",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463808",
"telephone_number": "561-496-5144"
}
],
"practiceLocations": [
{
"address_1": "7 Carnegie Plz",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080031000",
"country_code": "US",
"telephone_number": "877-407-3422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025506-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20239",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "CP053589T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.