Natalie Megan Bullock, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Tecumseh, MI
NPI 1043040686 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1043040686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201013973 (MI)
- Practice address
- 1434 W Chicago Blvd Ste a
Tecumseh, MI 49286-8727 - Phone
- (517) 507-5555
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015001106 | MI | Practitioner - Occupational Therapist in Private Practice | 6608308739 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Autism Centers LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201013973 | MI | Yes |
Addresses
Primary practice location
1434 W Chicago Blvd Ste a
Tecumseh, MI 49286-8727
Mailing address
820 Dornoch Dr
Ann Arbor, MI 48103-9074
Phone (734) 717-5847
Other providers in Tecumseh, MI
- Kristen J Bracklein
- Thomas Richard Branton
- Cleon Sherrill Broussard
- Abbey L Brown
- Mary Browning
- Emily Kay Burns
- Buschs Inc
- Morgan Cadmus
- Breanna Marie Campbell
- Irene Carothers
All providers in Tecumseh, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.