Healthcare Provider Details

I. General information

NPI: 1912758970
Provider Name (Legal Business Name): CAROLINE M BUCHENIC DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 DEBARTOLO PL STE 1100
YOUNGSTOWN OH
44512-7004
US

IV. Provider business mailing address

7831 HUNTINGTON CIR
YOUNGSTOWN OH
44512-8112
US

V. Phone/Fax

Practice location:
  • Phone: 234-287-6660
  • Fax: 234-287-6669
Mailing address:
  • Phone: 330-519-0107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT020942
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: