MRS. MICHELE ACEJO BUCAYAN (NPI# 1396007407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396007407 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE ACEJO BUCAYAN |
| Credential | PT |
| Practice Address |
335 Midland Pkwy Summerville SC 29485-8138 |
| Mailing Address |
127 History Ln Summerville SC 29485-7850 |
| Practice Telephone | 8438735204 |
| Mailing Telephone | 8438210059 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2760 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
335 MIDLAND PKWY |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770931172 | Alida Mcgann | Physical Therapist | 206 Robinson St, Greenville, SC 29609-5433 | 2016-05-26 |
| 1992178644 | Michael Gerard Brophy | Physical Therapist | 811 Woodstone Dr, Apt G, Florence, SC 29501-5502 | 2015-11-03 |
| 1366833279 | Cindy Matthews-long | Physical Therapist | 828 Beltline Blvd, Columbia, SC 29205-2063 | 2015-02-13 |
| 1114321965 | Teresa Marie Jemming | Physical Therapist | 3300 Butterworth Cir, Sumter, SC 29154-9475 | 2014-10-21 |
| 1750784138 | Patrice Hazan | Physical Therapist | 845 Ne Main St, Simpsonville, SC 29681-2041 | 2014-09-30 |
| 1972885754 | Jacob Pierce Fleming | Physical Therapist | 27 Barnwood Cir, Greenville, SC 29607-5486 | 2011-09-16 |
| 1942594544 | Tp Holdings, LLC | Physical Therapist | 1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 | 2011-06-01 |
| 1659518975 | Visio Perspectives Neuro Rehab Services LLC | Physical Therapist | 115 S Morris St, Lake City, SC 29560-2459 | 2009-01-08 |
| 1538329941 | Joshua J Canfield | Physical Therapist | 112 Tanglesworth Rd, Irmo, SC 29063-7905 | 2008-06-10 |
| 1104026111 | Analyn M Mccutchen | Physical Therapist | 63 Blacstock Rd, Inman, SC 29349 | 2007-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on MRS. MICHELE ACEJO BUCAYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.