GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) – Physical Therapist, NPI 1508050808

GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) is a healthcare provider. based in Kutztown, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials M.S., P.T., W.C.C.. They hold a License No. PT008625L (PA). The NPI Number for GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) is 1508050808

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.)
NPI
1508050808
Phone
(610) 756-0071
Address
1181 LONG LANE RD
Enumeration Date
29 August 2007
Last Update Date
1 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702657688
Graduation Year
1994 (32 years ago)
PAC ID
0446502694
Group Practice PAC ID
4981971843
Professional Enrollment ID
I20181016002975
Address ID
PA188488254TO245696XXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.)

  • 1181 LONG LANE RD

    KUTZTOWN, PA 19530

    Phone: (610) 756-0071

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181016002975IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,042334$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes956317$0
97140Therapy procedure using manual technique, each 15 minutes438212$0
97530Therapy procedure using functional activities391187$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care3222$0
View full utilization report →

Insurance plans in this area (ZIP 19530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981971843View full group profile
NameSpecialtyState
-PA
-NY
-PA
-PA
-PA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Can I verify GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) with an NPI only?
You can start verification with NPI 1508050808 for GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.), then check state licensing separately.
Is GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) still practicing?
GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) is currently listed as active in the public NPI registry.
What is GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.)'s primary classification?
Physical Therapist is the headline specialty for GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) here. Clinical services aligned with this taxonomy classification.
Where should I expect GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) on a map?
Expect Kutztown, Pennsylvania as a primary anchor for GWENDOLYN BUCHANAN (M.S., P.T., W.C.C.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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