KYLE BUCKHAM (NPI# 1548822208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548822208 |
| Entity Type | Individual |
| Full Name | KYLE BUCKHAM |
| Credential | PT, DPT |
| Practice Address |
506 12th Ave Seattle WA 98122-5509 |
| Mailing Address |
2014 E Yesler Way Apt 216 Seattle WA 98122-5805 |
| Practice Telephone | 2064306262 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
60965462 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
506 12TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380452 | Matthew Wood | Physical Therapist | 506 12th Ave, Seattle, WA 98122-5509 | 2015-07-01 |
| 1801433099 | Osheray Streeter | Physical Therapist | 506 12th Ave, Seattle, WA 98122-5509 | 2019-12-06 |
| 1033670310 | Michelle Ernsdorff | Physical Therapist | 506 12th Ave, Seattle, WA 98122-5509 | 2019-03-28 |
| 1679069314 | Jenna Lynn Bauman | Physical Therapist | 506 12th Ave, Seattle, WA 98122-5509 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
| 1538698915 | Ashlie Emert | Physical Therapist | 2901 3rd Ave Ste 350, Seattle, WA 98121-1031 | 2017-06-08 |
| 1902353477 | Adrienne Kishimoto | Physical Therapist | 1445 Nw Leary Way, #150, Seattle, WA 98107 | 2016-09-01 |
| 1962956938 | Kirsten Marie Kuykendall | Physical Therapist | 3601 Fremont Ave N Ste 414, Seattle, WA 98103-8753 | 2016-08-08 |
| 1538530993 | Matthew Ryan Currier | Physical Therapist | 4501 Interlake Ave N, #8, Seattle, WA 98103 | 2015-10-12 |
| 1861893711 | Chason Lee Hendryx | Physical Therapist | 114 Alaskan Way S Apt 506, Seattle, WA 98104-2585 | 2014-09-10 |
| 1376850370 | Kateryna Volodymyrivna Bakay | Physical Therapist | 2332 50th Ave Sw, Seattle, WA 98116-2309 | 2010-09-12 |
| 1861705576 | Daniel Harry Benson | Physical Therapist | 714 N 65th St, Seattle, WA 98103-5306 | 2010-07-22 |
| 1003133232 | Nicole Siegel Bulow | Physical Therapist | 519 Bellevue Ave E, Seattle, WA 98102-4708 | 2010-04-28 |
| 1720218274 | Roseanne Tkaczuk | Physical Therapist | 8750 Greenwood Ave N, S-1, Seattle, WA 98103 | 2009-07-18 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.