Michelle Katherine Buderman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027010-1 Issued in NY

Practice address

4800 Veterans Memorial Hwy
Holbrook, NY 11741-4512

Phone

(631) 563-8400

NPI assigned

May 17, 2009

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Sports and Rehabilitation Center East CoGroup PAC ID 7113186875, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Long Island Sports & Rehabilitation Center East, Co.

  • Physical Therapy Clinic/Center
  • Holbrook, NY
  • NPI 1063612943
  Medicare reassignment Care Compare group NPD
• Richard a. Weiss MD PC

  • Orthopaedic Surgery Physician
  • Saint James, NY
  • NPI 1407255227
  NPD

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1932334240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 VETERANS HWY",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 VETERANS MEMORIAL HWY",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414512",
            "telephone_number": "631-563-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDERMAN",
        "first_name": "MICHELLE",
        "middle_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-17",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027010-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Acupuncture, P.C.
• Amanda Brown
• Lisa Brown
• Tiffany Nicole Brown
• Mary Ann Bryant
• Kelsey Bunce
• Lisa Marie Burgos, PTA
• Rachael Cabble, LPN
• Catherine Caesarbrown, LMHC 003562
• Dean Calcaterra, SEIT

• Physical Therapist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.