Individual provider Active NPI

Eileen Bucayan, P.T.

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1942459896
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TX172395 Issued in TX
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

Updated by the provider on Sep 16, 2008

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 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

LicenseStateTypeSpecialty
TX172395TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services TX LLC Physical Therapist CurrentSince Sep 1, 2021 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.

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.

Verify at the official NPI Registry.