CORISSA BUCKLEY
NPI 1104278654
Physical Therapist - Orthopedic in Bellevue, WA
About Corissa Buckley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORISSA BUCKLEY (NPI 1104278654) is an individual orthopedic provider in Bellevue, Washington and active in the NPI registry since July 2016.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corissa Buckley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Corissa Buckley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Corissa Buckley's NPI number?
The NPI number for Corissa Buckley is 1104278654. It was assigned to this individual provider in the NPPES registry on July 8, 2016.
Where is Corissa Buckley located?
Corissa Buckley practices at 1500 116th Ave NE, Bellevue, WA 98004. The listed phone number is (206) 884-2850.
What is Corissa Buckley's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Corissa Buckley enrolled in Medicare?
Yes. Corissa Buckley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Corissa Buckley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corissa Buckley reassigns Medicare benefits to Seattle Children's Hospital (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corissa Buckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Corissa Buckley was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Corissa Buckley · NPI 1104278654
Orthopedic provider in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since July 8, 2016.
## Identity
- **NPI:** 1104278654 (Entity type: Individual)
- **Enumerated:** July 8, 2016
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 116TH AVE NE, Bellevue, WA 98004-3829
- **Phone:** (206) 884-2850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Seattle Children's Hospital (NPI 1003319500, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104278654) · Data from the CMS NPPES public registry.