Johanna Marie Buckingham, PT
NPI 1457027757ActiveIndividual· Physical Therapist· Medford, NJ
Physical Therapist (PT) in Medford, New Jersey, licensed in NJ, with an NPI issued in August 2021. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1457027757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 18, 2021 |
| Last updated in NPPES | Feb 25, 2025 |
| Certified by provider | Feb 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA02031800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|
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