KIM MICHELLE BUCKO OTR
NPI 1922358266
Occupational Therapist in Mystic, CT
About Kim Michelle Bucko Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM MICHELLE BUCKO OTR (NPI 1922358266) is an individual occupational therapist in Mystic, Connecticut, licensed in Connecticut (001892) and active in the NPI registry since September 2012.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Michelle Bucko Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kim Bucko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westerly, RI 02891
- Reassigned Medicare billing, Connecticut enrollment
- 21 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.
Areas of Expertise CMS Part B claims 5
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.
Other Providers at the Same Location NPPES 14
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 Kim Bucko's NPI number?
The NPI number for Kim Bucko is 1922358266. It was assigned to this individual provider in the NPPES registry on September 13, 2012.
Where is Kim Bucko located?
Kim Bucko practices at 2440 Gold Star Hwy Suite 201, Mystic, CT 06355. The listed phone number is (860) 536-1001.
What is Kim Bucko's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kim Bucko enrolled in Medicare?
Yes. Kim Bucko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kim Bucko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Bucko reassigns Medicare benefits to Inspire Physical Therapy And Wellness, LLC (Westerly, RI). 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 Kim Bucko'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 Kim Bucko was last updated on October 21, 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.