Individual provider Active NPI

Michael Clay Buckler, P.T.

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1083870505
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4997 Issued in CO
Practice address
6005 Delmonico Dr Ste 130
Colorado Springs, CO 80919-2265
Phone
(719) 204-9293
Fax
(719) 212-5247
NPI assigned
Aug 4, 2008
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4997 CO Primary

Addresses

Primary practice location

6005 Delmonico Dr Ste 130
Colorado Springs, CO 80919-2265

Mailing address

6005 Delmonico Dr Ste 130
Colorado Springs, CO 80919-2265
Phone (719) 204-9293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729000795 CO Practitioner - Physical Therapist in Private Practice 2860481694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NTG RehabGroup PAC ID 3870073554, 4 clinicians

Practice addresses (Care Compare)

6005 Delmonico Dr
Suite 130
Colorado Springs, CO 80919-2265
Phone (719) 220-8865

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4997COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NTG Rehab Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

2430 Research Pkwy
Ste 100
Colorado Springs, CO 80920
Phone (719) 623-1050

6005 Delmonico Dr
Ste 130
Colorado Springs, CO 80919
Phone (719) 599-7401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1521/brand/5/csg/46/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1083870505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192265",
            "telephone_number": "719-204-9293",
            "fax_number": "719-212-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 DELMONICO DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192265",
            "telephone_number": "719-204-9293",
            "fax_number": "719-212-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "MICHAEL",
        "middle_name": "CLAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.