George Richard Bulger, DROT, OTR/L
Individual provider Active NPI Occupational Therapist · Port Monmouth, NJ
NPI 1003390865 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1003390865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00928500 (NJ)
- Practice address
- 46 Mills Ave
Port Monmouth, NJ 07758-1127 - Phone
- (347) 513-9292
- NPI assigned
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00928500 | NJ | MD | Occupational Therapist |
| 022930 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Stretch Consulting, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022930 | NY | |
| Occupational Therapist | 225X00000X | 46TR00928500 | NJ | Yes |
Addresses
Primary practice location
46 Mills Ave
Port Monmouth, NJ 07758-1127
Mailing address
46 Mills Ave
Port Monmouth, NJ 07758-1127
Phone (347) 513-9292
Other practice location 1
49 Montrose Ave
Brooklyn, NY 11206-2580
Phone (718) 473-3808
Other providers in Port Monmouth, NJ
- A Mindful Paws for Youth LLC
- Maureen Anderson
- Christine Andreotti Bennett
- Leeann Rose Bennett
- Center for Family Support, New Jersey, Inc.
- Community Options, Inc.
- Daniel Deshong
- Craig Domanski
- Drug Fair Group, Inc.
All providers in Port Monmouth, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.