Buckley Spine and Sport Physical Therapy, PLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3411 Issued in AR

Legal business name

BUCKLEY SPINE AND SPORT PHYSICAL THERAPY, PLC

Practice address

4425 Jefferson Ave Ste 102
Texarkana, AR 71854-1529

Phone

(903) 347-8516

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Gary Buckley Jr., PT, DPT

Title

Physical Therapist/Owner

Phone

(903) 826-4128

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1851893390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 FOREST OAK DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718548234",
            "telephone_number": "903-826-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JEFFERSON AVE STE 102",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541529",
            "telephone_number": "903-347-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKLEY SPINE AND SPORT PHYSICAL THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "903-826-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlena Brown, CADC
• Dominique Brown, MHPP
• Eddie Randolph Brown, DDS
• Kirsten Brown, OTD
• Lela Brown, DNP- FNP APRN
• Martin Charles Buresh, PHD
• Jenna Maedean Burns
• Kathleen Nichole Burns, FNP-BC
• Mitzi Lou Burton, LPC
• Chelsey L Buttrey

• Physical Therapist in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.