Individual provider Active NPI

Jennifer Lynn Buono, MPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1992962567
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005109 Issued in KY
Practice address
13201 Magisterial Dr
Louisville, KY 40223-4105
Phone
(502) 244-6770
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 005109 KY Primary

Addresses

Primary practice location

13201 Magisterial Dr
Louisville, KY 40223-4105

Mailing address

2024 Liberty Dr
Mechanicsburg, PA 17055-6291
Phone (502) 241-7152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119000210 PA Practitioner - Physical Therapist in Private Practice 8022318302 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

P O Box
Suite 2034
Mechanicsburg, PA 17055-4325

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005109KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FC Select LLC Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients
PSHR Physical Therapy, LLC Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients

Locations

4033 Linglestown Rd
Ste 2
Harrisburg, PA 17112
Phone (717) 657-8240

308 Hockersville Rd
Hershey, PA 17033
Phone (717) 298-1411

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

2 Kacey Ct
Ste 101
Mechanicsburg, PA 17055
Phone (717) 591-1807

Organizations & group practices 4

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1992962567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 LIBERTY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556291",
            "telephone_number": "502-241-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 MAGISTERIAL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234105",
            "telephone_number": "502-244-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.