Krystyn Dunn Bullock, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005561 Issued in GA

Practice address

5555 Peachtree Dunwoody Rd
Suite 225
Atlanta, GA 30342-1703

Phone

(404) 835-3340

NPI assigned

May 20, 2010

Last updated

Mar 16, 2019By 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

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hand and Upper Extremity Center of Ga, PCGroup PAC ID 8820071160, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• The Hand and Upper Extremity Center of Ga, PC

  • Orthopaedic Hand Surgery Physician
  • Atlanta, GA
  • NPI 1083739437
  Medicare reassignment Care Compare group
• Sovereign Rehabilitation of Georgia, LLC

  dba Centers for Orthopedic Rehab

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1326210840
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552694400000",
    "number": "1073832754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SENTARA PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053009",
            "telephone_number": "410-960-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-835-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421626",
            "country_code": "US",
            "telephone_number": "404-256-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "KRYSTYN",
        "middle_name": "DUNN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2019-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Thomas Bullock, RN
• Alyssa Bullock
• Evenna Bullock
• Jacqueline Yvonne Bullock
• Keith Eldon Bullock, M.S., CCC/ SLP
• Sydnie Bulluck
• Julie Bumgardner, NP
• James B Bumgarner, MD
• Katherine Elizabeth Bumpas, RD, LD
• Nassoma King Bumpers, P.A.

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.