Active NPI
Austin Bucher
- Physical Therapist
- O Fallon, MO
National Provider Identifier
1942088554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2023036682
- Practice address
- 3074 Winghaven Blvd
O Fallon, MO 63368-3620 - Phone
- (636) 265-4100
- NPI assigned
- Sep 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2023036682 | MO | Primary |
Addresses
Primary practice location
3074 Winghaven Blvd
O Fallon, MO 63368-3620
Mailing address
14124 State Highway FF
Marble Hill, MO 63764-4645
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023036682 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1942088554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14124 STATE HIGHWAY FF",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "637644645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3074 WINGHAVEN BLVD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633683620",
"telephone_number": "636-265-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHER",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023036682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.