Michaela Bullins
Individual provider Active NPI Physical Therapy Assistant · Eden, NC
NPI 1154857951 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1154857951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A6263 (NC)
- Practice address
- 205 E Kings Hwy
Eden, NC 27288-5239 - Phone
- (336) 623-9712
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A6263 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A6263 | NC | Yes |
Addresses
Primary practice location
205 E Kings Hwy
Eden, NC 27288-5239
Mailing address
205 E Kings Hwy
Eden, NC 27288-5239
Other providers in Eden, NC
- Michael L Bruin
- Elsa Campos Bucio
- Mark C Bucy
- Donna Gayle Buist
- Nigel A. Buist
- Steven E Burdine
- Lillian P Burke
- Michael D Burleson
- But God LLC
- Care First Home Health Care, Inc
All providers in Eden, NC · Physical Therapy Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.