CAROLYN MARIE BUETTGENBACK (PT, DPT) – Physical Therapist, NPI 1063179604

CAROLYN MARIE BUETTGENBACK (PT, DPT) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2124 (WY). The NPI Number for CAROLYN MARIE BUETTGENBACK (PT, DPT) is 1063179604

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN MARIE BUETTGENBACK (PT, DPT)
NPI
1063179604
Phone
(210) 775-6655
Address
3922 WISEMAN BLVD
Enumeration Date
18 November 2021
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072353910
Graduation Year
2021 (5 years ago)
PAC ID
9830580281
Group Practice PAC ID
9830172055
Professional Enrollment ID
I20211220002011
Address ID
WY826097304CA1541XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for CAROLYN MARIE BUETTGENBACK (PT, DPT)

  • 3922 WISEMAN BLVD

    BLDG V, SUITE 502

    SAN ANTONIO, TX 78251

    Phone: (210) 775-6655

    Fax: (210) 761-7291

    Type: Mailing

  • 1541 CENTENNIAL CT

    CASPER, WY 826097304

    Phone: (307) 235-3910

    Type: Mailing

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: 2021-12-20

PECOS data refreshed: 2026-05-27

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
I20211220002011IPhysical Therapist In Private PracticeWYTBD

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 minutes51579$0
97530Therapy procedure using functional activities500106$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39684$0
97140Therapy procedure using manual technique, each 15 minutes28068$0
95992Repositioning exercises of head for treatment of dizziness, each day6126$0
View full utilization report →

Insurance plans in this area (ZIP 78251)

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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: 9830172055View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

How do payers reference CAROLYN MARIE BUETTGENBACK (PT, DPT)?
For CAROLYN MARIE BUETTGENBACK (PT, DPT), use NPI 1063179604 as the unique 10-digit identifier.
Is CAROLYN MARIE BUETTGENBACK (PT, DPT) still an active registrant?
CAROLYN MARIE BUETTGENBACK (PT, DPT) carries an active NPI according to the public dataset.
What expertise is attributed to CAROLYN MARIE BUETTGENBACK (PT, DPT)?
CAROLYN MARIE BUETTGENBACK (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with CAROLYN MARIE BUETTGENBACK (PT, DPT)?
Directory geography for CAROLYN MARIE BUETTGENBACK (PT, DPT) centers on San Antonio, Texas.
Does CAROLYN MARIE BUETTGENBACK (PT, DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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