Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deidre M Buckingham, PTA, LMT

Individual provider Physical Therapy Assistant · NPI 1164582771

Deidre M Buckingham, PTA, LMT is a Physical Therapy Assistant in Madison, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1915 Winnebago St
Madison, WI 53704-5305
Phone: (608) 301-5717
Fax: (608) 200-3270
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4602 East Park Boulevard East Wing Mail Code Ac10, Madison, WI 53792-0001 — (608) 262-9355

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 724-146 (WI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1353-019 (WI)

Record details

NPI number1164582771
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , LMT
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 18, 2021
Certification dateMarch 25, 2021

Other providers in Madison