Active NPI
Kary Elizabeth Buddle, P.T.A.
- Physical Therapy Assistant
- Herkimer, NY
National Provider Identifier
1871895466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0002923-1
- Practice address
- 352 Gros Blvd
Herkimer, NY 13350-1446 - Phone
- (315) 867-2000
- NPI assigned
- Dec 2, 2010
- Last updated
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0002923-1 | NY | Primary |
Addresses
Primary practice location
352 Gros Blvd
Herkimer, NY 13350-1446
Mailing address
1155 Millers Mill Rd
Richfield Springs, NY 13439-4016
Phone (315) 858-0369
Other names 1
- Mrs. Kary Elizabeth Buddle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002923-1 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herkimer Fulton Hamilton Otsego Boces | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Herkimer, NY
- NPI 1912372202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1871895466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILLERS MILL RD",
"city": "RICHFIELD SPRINGS",
"state": "NY",
"postal_code": "134394016",
"telephone_number": "315-858-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 GROS BLVD",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501446",
"telephone_number": "315-867-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDLE",
"first_name": "KARY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "0002923-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARY",
"last_name": "BUDDLE",
"middle_name": "ELIZABETH",
"prefix": "MRS.",
"credential": "P.T.A.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.