Kim M Bucko, OTR
Occupational Therapist in Mystic, Connecticut
1922358266- Practice location
- 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355-1180
- Phone
- 860-536-1001
- Fax
- —
- Last updated
- October 21, 2022
Kim Michelle Bucko is an Occupational Therapist based in Mystic, CT. Kim Michelle Bucko practices in Mystic, CT and has the professional credentials of OTR. The NPI Number for Kim Michelle Bucko is 1922358266 and holds a License No. 001892 (CT). The current practice location address for Kim Michelle Bucko is 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355-1180 and can be reached out via phone at 860-536-1001.
Provider Profile Details
- NPI Number
- 1922358266
- Provider Name
- Kim Michelle Bucko
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355-1180
- Phone Number
- 860-536-1001
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2012
- Last Update Date
- October 21, 2022
- Certification Date
- October 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2440 Gold Star Hwy
Suite 201
Mystic, CT 06355-1180 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-1180
- Phone Number
- 860-536-1001
Provider Business Mailing Address Details
- Address
- 18 Upper Kensington Dr
East Lyme, CT 06333-1164 - City
- East Lyme
- State
- CT
- Zip
- 06333-1164
- Phone Number
- 860-451-8623
License Information
- License Number (1)
- 001892
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Physical Therapy · 261QP2000X
- License Number (2)
- 001892
- License State (2)
- CT
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapists near Mystic, CT
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- Mrs. Melissa E Avery, MSOT, OTR/LOccupational Therapist · NPI 1447556725
- Tina M Aspromonte-Weiss, OTR/LOccupational Therapist · NPI 1811245939
- Mr. Michael J Alger, MS, LPCCounselor, Professional · NPI 1740550987
- Child And Family Agency Of Southeastern Connecticut, INC.Clinic/Center · NPI 1306504220
- Child And Family Agency Of Southeastern Connecticut INC.Clinic/Center · NPI 1477252054
Frequently Asked Questions
What is the NPI number of Kim M Bucko, OTR?
The NPI number of Kim M Bucko, OTR is 1922358266. It was assigned on September 13, 2012 and is currently active in the NPPES registry.
What is the specialty of Kim M Bucko, OTR?
Kim M Bucko, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 001892.
Where does Kim M Bucko, OTR practice?
The practice location is 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355-1180. The office can be reached at 860-536-1001 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922358266 directly on the NPPES registry website.