NPIMap

Organization Active NPI

Buckeye Physical Therapy, PLLC

  • Physical Therapist
  • Edinburg, TX
National Provider Identifier
1821476367
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1215276 Issued in TX
Legal business name
BUCKEYE PHYSICAL THERAPY, PLLC
Practice address
4590 S Professional Dr
Unit 5102
Edinburg, TX 78539-6542
Phone
(330) 770-7596
Fax
(956) 270-4820
NPI assigned
May 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justin C Lemmo, DPTNPI 1063785269
Title
Managing Member
Phone
(330) 770-7596

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1215276 TX Primary

Addresses

Primary practice location

4590 S Professional Dr
Unit 5102
Edinburg, TX 78539-6542

Mailing address

4590 S Professional Dr
Unit 5102
Edinburg, TX 78539-6542
Phone (330) 770-7596

Other names 1

  • Justin Lemmo, DPT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431820800000",
    "number": "1821476367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 S PROFESSIONAL DR",
            "address_2": "UNIT 5102",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396542",
            "telephone_number": "330-770-7596",
            "fax_number": "956-270-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 S PROFESSIONAL DR",
            "address_2": "UNIT 5102",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396542",
            "telephone_number": "330-770-7596",
            "fax_number": "956-270-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A",
        "authorized_official_last_name": "LEMMO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "330-770-7596",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1215276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justin Lemmo, DPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.