Corissa Buckley

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

1500 116TH Ave NE
Bellevue, WA 98004-3829

Phone

(206) 884-2850

NPI assigned

Jul 8, 2016

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Seattle Children's Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500
  Medicare reassignment NPD

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1104278654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 S RYAN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981782617",
            "telephone_number": "206-853-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043829",
            "telephone_number": "206-884-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CORISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Alfred Brzusek, D.O.
• Melissa Helen Brzusek
• Sydney Buchli
• Michele Buck
• Isabel Grace Buckingham, MSN, RN
• Heather Budd, OTR
• Marcel D Budica, P.A.
• Kristeen Lee Budreau, PA-C
• Anna Liza Buenvenida, M.ED.
• Jasmine Buezo, BA, RBT

• Orthopedic Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.