NPIMap

Individual provider Active NPI

Cary C Bucko, PT MPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1881783603
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5747 Issued in AZ
Practice address
6320B W Union Hills Dr
Suite 2200
Glendale, AZ 85308-7201
Phone
(623) 561-3103
Fax
(623) 561-3106
NPI assigned
Oct 12, 2006
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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 5747 AZ Primary

Addresses

Primary practice location

6320B W Union Hills Dr
Suite 2200
Glendale, AZ 85308-7201

Mailing address

2500 W Utopia Rd
Suite 100
Phoenix, AZ 85027-4171
Phone (623) 434-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000603 AZ Practitioner - Physical Therapist in Private Practice 0749271666 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Dec 15, 2011 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Dec 15, 2011 Accepting new patients
Olympic Physical Therapy, Inc Physical Therapist Past Accepting new patients
Strength Training Inc Past Accepting new patients
Strength Training Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients
Petersen Physical Therapy PC PastSince Jan 1, 2004 Accepting new patients
Olympic Ptwest at Arrowhead LLC Physical Therapist PastSince May 5, 2008 Accepting new patients
Olympic Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Southwest Therapy Specialists, P.C. PastSince Jul 19, 2008 Accepting new patients
Olympic Physical Therapy of Bellevue Inc. Physical Therapist Past Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1881783603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200",
            "fax_number": "623-434-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320B W UNION HILLS DR",
            "address_2": "SUITE 2200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087201",
            "telephone_number": "623-561-3103",
            "fax_number": "623-561-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKO",
        "first_name": "CARY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.