Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Michelle Bucko, OTR

Individual provider Physical Therapy Clinic/Center · NPI 1922358266

Kim Michelle Bucko, OTR is a Physical Therapy Clinic/Center in Mystic, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2440 Gold Star Hwy Ste 201
Mystic, CT 06355-1180
Phone: (860) 536-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 001892 (CT)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 001892 (CT)

Record details

NPI number1922358266
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedSeptember 13, 2012
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

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