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

Patrick Kim Buckley

Individual provider Physical Therapist · NPI 1801187661

Patrick Kim Buckley is a Physical Therapist in Private Practice in Wilton, Connecticut. Qualified in 2011, 15 years ago. Practices with Dynamic Edge Physiotherapy LLC, a 4-clinician group.

Years since qualifying
15
In the registry since
2011
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Practice location Address checks out

396 Danbury Rd Unit 5
Wilton, CT 06897-2024
Phone: (203) 978-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1801187661
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address396 Danbury Rd Unit 5, Wilton, CT 06897-2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dynamic Edge Physiotherapy Llc — 4 clinicians
Accepts Medicare assignment Not indicated

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