Active NPI
Rachel Nicole Bullar, P.T.
- Physical Therapist
- Aurora, IL
National Provider Identifier
1023095650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-013521
- Practice address
- 1221 N Highland Ave
Aurora, IL 60506-1404 - Phone
- (630) 859-8700
- Fax
- (630) 264-8444
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-013521 | IL | Primary |
| Physical Therapist | 225100000X | 2002028046 | MO |
Addresses
Primary practice location
1221 N Highland Ave
Aurora, IL 60506-1404
Mailing address
1221 N Highland Ave
Aurora, IL 60506-1404
Phone (630) 859-8700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-013521 | IL | MD | Physical Therapist |
| 2002028046 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1023095650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061404",
"telephone_number": "630-859-8700",
"fax_number": "630-264-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061404",
"telephone_number": "630-859-8700",
"fax_number": "630-264-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLAR",
"first_name": "RACHEL",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-013521",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2002028046",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.