Quinton Tyler Buckner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015457 Issued in GA

Practice address

1975 Highway 54 W Ste 210B
Peachtree City, GA 30269-4794

Phone

(678) 902-0457

Fax

(770) 415-1450

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians

Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.85 of 100Reported as group

Quality

85.59

Improvement activities

40

Cost

69.27

Merit-based Incentive Payment System (MIPS)

Final score

91.6 of 100Reported as group

Quality

88.21

Promoting interoperability

100

Improvement activities

40

Cost

83.78

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.

• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Peachtree City, GA
  • NPI 1992003479
  Medicare reassignment Care Compare group NPD
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1922018423
  Medicare reassignment Care Compare group NPD
• Georgia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1245826999
  Medicare reassignment Care Compare group NPD
• Ascension Physical Therapy and Performance Institute of Georgia LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1225990963
  NPD Authorized official
• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Smyrna, GA
  • NPI 1134462591
  NPD
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Lithonia, GA
  • NPI 1346119831
  NPD
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1831108695
  NPD
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Brookhaven, GA
  • NPI 1720097561
  NPD (past)

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1942974654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 210B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-902-0457",
            "fax_number": "770-415-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 HIGHWAY 54 W STE 210B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694794",
            "telephone_number": "678-902-0457",
            "fax_number": "770-415-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "QUINTON",
        "middle_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presley Bryan
• Kimberly Michelle Bryant, LCSW
• Terri Buchanan
• Zahria Imon Buchanan, PT
• Kristi Buck, PT
• Brittany Bulger, NP
• Carson Alexander Bunn
• Kimberly Ann Burk, DMD
• Marcus James Burk, DMD
• Rico Bussey, D.M.D.

• Physical Therapist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.