Jill Buckingham, RMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0010201 Issued in CO

Practice address

4740 Flintridge Dr Ste 130
Colorado Springs, CO 80918-4273

Phone

(719) 917-1000

Fax

(719) 667-1971

NPI assigned

Aug 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1437705340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 SMOKE TREE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204144",
            "telephone_number": "719-515-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184273",
            "telephone_number": "719-917-1000",
            "fax_number": "719-667-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 Smoke Tree Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809204144",
            "country_code": "US",
            "telephone_number": "719-515-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "JILL",
        "credential": "RMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0010201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://outlook.office.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4740 Flintridge Dr Ste 130",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809184273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Buck Jack, LLC
• Buck Jack, LLC
• Devon Buck, COTA/L
• Kelsea Buck
• Dina Buckey, LCSW
• Michael Clay Buckler, P.T.
• Jenna Buckles
• Britt A Buckley, M.D.
• Emily Buckley, MA
• Eronilde Chaves Buckley, MA, LPC, LAC, NCC

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.