Active NPI
Eileen Bucayan, P.T.
- Physical Therapist
- Round Rock, TX
National Provider Identifier
1942459896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TX172395
- Practice address
- 2805 Stonecreek PL
Round Rock, TX 78681-2198 - Phone
- (512) 733-7701
- Fax
- (512) 733-7704
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | TX172395 | TX | Primary |
Addresses
Primary practice location
2805 Stonecreek PL
Round Rock, TX 78681-2198
Mailing address
2805 Stonecreek PL
Round Rock, TX 78681-2198
Phone (512) 733-7701
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 |
|---|---|---|---|
| TX172395 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services TX LLC | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671
13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267
6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750
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.
-
- Physical Therapist
- Allen, TX
- NPI 1710582580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1942459896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 STONECREEK PL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786812198",
"telephone_number": "512-733-7701",
"fax_number": "512-733-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 STONECREEK PL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786812198",
"telephone_number": "512-733-7701",
"fax_number": "512-733-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCAYAN",
"first_name": "EILEEN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "TX172395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.