Individual provider Active NPI

Joseph B Buletza, P.T.

  • Physical Therapist
  • Lemoyne, PA
National Provider Identifier
1891718367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001299E Issued in PA
Practice address
550 N 12TH St
Suite 120
Lemoyne, PA 17043-1242
Phone
(717) 737-9818
Fax
(717) 737-2815
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT001299E PA Primary

Addresses

Primary practice location

550 N 12TH St
Suite 120
Lemoyne, PA 17043-1242

Mailing address

550 N 12TH St
Suite 120
Lemoyne, PA 17043-1242
Phone (717) 737-9818

Other identifiers 1

IdentifierTypeStateIssuer
506259OtherPABLUE SHIELD

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FC Select LLC Physical Therapist CurrentSince Nov 7, 2011 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince May 13, 2023 Accepting new patients
Fine Bryant & Wah Inc Physical Therapist Past Accepting new patients

Locations

1 Valley St
Ste 104
Carlisle, PA 17013
Phone (717) 241-2247

950 Walnut Bottom Rd
Ste 19
Carlisle, PA 17015
Phone (717) 245-0610

4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240

550 N 12th St
Ste 120
Lemoyne, PA 17043
Phone (717) 737-9818

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891718367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N 12TH ST",
            "address_2": "SUITE 120",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431242",
            "telephone_number": "717-737-9818",
            "fax_number": "717-737-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 12TH ST",
            "address_2": "SUITE 120",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431242",
            "telephone_number": "717-737-9818",
            "fax_number": "717-737-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULETZA",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT001299E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "506259",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.