Active NPIIndividual providerSole proprietor

Jaclyn Buckley, PT, DPT

Physical Therapist in Medford, New Jersey

NPI Number1851056634
Practice location
131 Route 70 Ste 110, Medford, NJ 08055-9501
Fax
856-375-1110
Last updated
November 5, 2021

Jaclyn Buckley is a Physical Therapist based in Medford, NJ. Jaclyn Buckley practices in Medford, NJ and has the professional credentials of PT, DPT. The NPI Number for Jaclyn Buckley is 1851056634 and holds a License No. 40QA02055500 (NJ). The current practice location address for Jaclyn Buckley is 131 Route 70 Ste 110, Medford, NJ 08055-9501 and can be reached out via phone at 856-533-0920 and via fax at 856-375-1110.

Provider Profile Details

NPI Number
1851056634
Provider Name
Jaclyn Buckley
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
131 Route 70 Ste 110, Medford, NJ 08055-9501
Phone Number
856-533-0920
Fax Number
856-375-1110
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2021
Last Update Date
November 5, 2021
Certification Date
November 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Route 70 Ste 110
Medford, NJ 08055-9501
Zip
08055-9501
Phone Number
856-533-0920
Fax Number
856-375-1110
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
Po Box 416495
Boston, MA 02241-6495
City
Boston
State
MA
Zip
02241-6495
Phone Number
888-830-4125

License Information

License Number
40QA02055500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Buckley, PT, DPT?

The NPI number of Jaclyn Buckley, PT, DPT is 1851056634. It was assigned on November 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Buckley, PT, DPT?

Jaclyn Buckley, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02055500.

Where does Jaclyn Buckley, PT, DPT practice?

The practice location is 131 Route 70 Ste 110, Medford, NJ 08055-9501. The office can be reached at 856-533-0920 (phone) or 856-375-1110 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851056634 directly on the NPPES registry website.

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