Rebecca Briane Bullock, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4126 Issued in TN

Practice address

2707 Citico Ave
Ste. B
Chattanooga, TN 37406-3402

Phone

(423) 698-0853

NPI assigned

Oct 14, 2011

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1063797603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CITICO AVE",
            "address_2": "STE. B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374063402",
            "telephone_number": "423-698-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "REBECCA",
        "middle_name": "BRIANE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Buffington
• Judith Buhrman, NP
• Victoria Bui
• Imelda S Bulatao, MD
• Joseph Todd Bullard, ATC
• Shirley C Bumpass
• Jacelon L Bunger, M.ED.
• Danielle Lee Bunn
• Leslie Bunn, L. AC.
• Melissa Tyler Bunnell, DO

• Occupational Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.