Individual provider Active NPI

James R Bucklin, RPT

  • Physical Therapist
  • Columbia, CT
National Provider Identifier
1750440673
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006113 Issued in CT
Practice address
106 Route 66 East
Columbia, CT 06237
Phone
(860) 228-0194
Fax
(860) 228-2694
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 006113 CT Primary

Addresses

Primary practice location

106 Route 66 East
Columbia, CT 06237

Mailing address

106 Route 66 East
Columbia, CT 06237
Phone (860) 228-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006113CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Bucklin Physical Therapist Current Accepting new patients
Cornerstone Behavioral Health Current Accepting new patients

Locations

5300 Westview Dr
Ste 108
Frederick, MD 21703

5350 Partners Ct
Ste B
Frederick, MD 21703
Phone (301) 732-4754

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1750440673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66 EAST",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-0194",
            "fax_number": "860-228-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66 EAST",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-0194",
            "fax_number": "860-228-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLIN",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.