Individual provider Active NPI

Jessica Ann Leimkuhler Buus, PT, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1932653342
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291626 Issued in CA
Practice address
17332 Von Karman Ave
Suite 120
Irvine, CA 92614-6242
Phone
(949) 861-8600
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 291626 CA Primary

Addresses

Primary practice location

17332 Von Karman Ave
Suite 120
Irvine, CA 92614-6242

Mailing address

6832 Hazard Ave
Westminster, CA 92683-4914
Phone (714) 747-8947

Other identifiers 1

IdentifierTypeStateIssuer
291626OtherCASTATE LICENSE

Other names 1

  • Jessica Leimkuhler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001597 CA Practitioner - Physical Therapist in Private Practice 6103113378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impt IncGroup PAC ID 9335112762, 20 clinicians

Practice addresses (Care Compare)

17332 Von Karman Ave
Suite 120
Irvine, CA 92614-6282
Phone (949) 861-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1932653342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 HAZARD AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834914",
            "telephone_number": "714-747-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE",
            "address_2": "SUITE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146242",
            "telephone_number": "949-861-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUUS",
        "first_name": "JESSICA",
        "middle_name": "ANN LEIMKUHLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "291626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEIMKUHLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.