George Richard Bulger, DROT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00928500 Issued in NJ

Practice address

46 Mills Ave
Port Monmouth, NJ 07758-1127

Phone

(347) 513-9292

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Home Stretch Consulting, LLC

  • Physical Therapy Clinic/Center
  • Port Monmouth, NJ
  • NPI 1497533715
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1003390865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MILLS AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581127",
            "telephone_number": "347-513-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MILLS AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581127",
            "telephone_number": "347-513-9292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Montrose Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062580",
            "country_code": "US",
            "telephone_number": "718-473-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULGER",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DROT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022930",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00928500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Mindful Paws for Youth LLC
• Maureen Anderson, RBT
• Christine Andreotti Bennett, L.P.C.
• Leeann Rose Bennett
• Center for Family Support, New Jersey, Inc.
• Community Options, Inc.
• Daniel Deshong, ATC
• Craig Domanski, M.A., BCBA
• Drug Fair Group, Inc. (Drug Fair of Port Monmouth 48)

• Occupational Therapist in Port Monmouth, NJ
• Providers in Port Monmouth, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.