MEDICARE: JESSE BUGGEY PT, DPT, OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT021611	PA
2	225100000X	Physical Therapist	DAPT002937	PA

General Provider Information

NPI Number	:	1336423318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE BUGGEY PT, DPT, OCS

Provider Business Mailing Address
First Line	:	2380 SCHOENERSVILLE RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-3602
Country	:	US
Telephone Number	:	484-215-4690
Fax Number	:	610-419-0312

Provider Business Practice Location Address
First Line	:	2380 SCHOENERSVILLE RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-3602
Country	:	US
Telephone Number	:	484-215-4690
Fax Number	:	610-419-0312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	02/17/2026

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