KYLE BUCKHAM PT, DPT
NPI 1548822208
Physical Therapist - Orthopedic in Seattle, WA

Q: What is Kyle Buckham's NPI number?

The NPI number for Kyle Buckham is 1548822208. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Kyle Buckham's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Buckham was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 02, 2019Accepts Medicare Assignment

506 12TH AVE, SEATTLE, WA 98122(206) 430-6262 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kyle Buckham Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE BUCKHAM PT, DPT (NPI 1548822208) is an individual orthopedic provider in Seattle, Washington, licensed in Washington (60965462) and active in the NPI registry since July 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1548822208

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameKYLE BUCKHAMCredential: PT, DPT

Location Address506 12TH AVESeattle, WA 98122-5509

Mailing Address2014 E Yesler Way Apt 216Seattle, WA 98122-5805

Phone(206) 430-6262

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 2, 2019

✔ NPI 1548822208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in WA · 60965462

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

506 12TH AVE, Seattle, WA 98122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Buckham Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921338849

PECOS Enrollment IDI20190919000738

Medicare Billing Reassignment

Medicare enrollment records show Kyle Buckham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manual Therapy International Professional Services PLLC

7.7 mi

Physical Therapist

1560 140TH AVE NE, SUITE 100
Bellevue, WA 98005

Reassigned Medicare billing, Washington enrollment
47 clinicians in this Medicare group

NPI 1871654475 (425) 746-2475

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

154 services19 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

122 services16 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

107 services16 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

94 services19 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYRELL MCGEE

Physical Therapist (Orthopedic)