Rachel Buckner Derian, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291783 Issued in CA

Practice address

11605 Washington PL
Los Angeles, CA 90066-5013

Phone

(310) 337-7115

NPI assigned

Aug 3, 2016

Last updated

Aug 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Lynn Buckner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids in Motion Pediatric Therapy

  • Pediatric Occupational Therapist
  • Torrance, CA
  • NPI 1922471358
  NPD (past)
• Kids in Motion Physical Therapy, Inc

  dba Kids in Motion Pediatric Therapy

  • Pediatric Physical Therapist
  • Torrance, CA
  • NPI 1033356597
  NPD (past)
• Therapy West, Inc

  • Occupational Therapist
  • Los Angeles, CA
  • NPI 1225232523
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1881147114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 MARTHA AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014740",
            "telephone_number": "540-539-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 WASHINGTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665013",
            "telephone_number": "310-337-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Del Mar Blvd",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052544",
            "country_code": "US",
            "telephone_number": "626-564-2700 x314",
            "fax_number": "626-564-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3460 Torrance Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905035812",
            "country_code": "US",
            "telephone_number": "310-371-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERIAN",
        "first_name": "RACHEL",
        "middle_name": "BUCKNER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BUCKNER",
            "middle_name": "LYNN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Dereza, L.C.S.W.
• Marvin Derezin, MD
• Sunita Dergalust, PHARMD, BCPS
• Ariss Derhovanessian, M.D.
• Joseph Michael Derian, D.P.T.
• Derick Gharibian DDS Inc
• Natasha Feise Dering
• Mehron Daniel Deriss, MD
• Jeffrey H Derkach, DC
• Dermacore Systems, a Professional Medical Corporation

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.