Individual provider Active NPI

Yukari Buckles, DPT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1871256990
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11022 Issued in LA
Practice address
8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone
(225) 767-8182
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11022 LA Primary

Addresses

Primary practice location

8448 Siegen LN
Baton Rouge, LA 70810-1938

Mailing address

11544 River Highlands Dr
Saint Amant, LA 70774-5029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220625000163 LA Practitioner - Physical Therapist in Private Practice 5698154300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewy Physical Therapy IncGroup PAC ID 5597730127, 10 clinicians

Practice addresses (Care Compare)

8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone (225) 767-8182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lewy Physical Therapy Inc Physical Therapist CurrentSince Mar 16, 2022 Accepting new patients

Locations

8448 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 757-0164

31985 LA Highway 16
Ste C
Denham Springs, LA 70726
Phone (225) 791-7114

7755 Magnolia Beach Rd
Ste G
Denham Springs, LA 70726

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1871256990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 RIVER HIGHLANDS DR",
            "city": "SAINT AMANT",
            "state": "LA",
            "postal_code": "707745029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8448 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101938",
            "telephone_number": "225-767-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "YUKARI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.

Verify at the official NPI Registry.