Karla Bull, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2672 Issued in TN

Practice address

20 Executive Park Dr
Hendersonville, TN 37075-3450

Phone

(615) 382-0500

Fax

(615) 382-0501

NPI assigned

Jul 14, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Shine Pediatric Therapy

  • Occupational Therapist
  • Springfield, TN
  • NPI 1891041133
  NPD (past)
• Springfield Pediatric Therapy Center PLLC

  • Specialist
  • Springfield, TN
  • NPI 1639303142
  NPD (past)

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1174131379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371721637",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE PARK DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753450",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 S Brown St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371722937",
            "country_code": "US",
            "telephone_number": "615-382-0500",
            "fax_number": "615-382-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULL",
        "first_name": "KARLA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2672",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dthompson@shinepediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "Billing/Credentialing Mgr Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "514 S Brown St",
            "city": "Springfield",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371722937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sabrina Brown, MMFT
• Shanda Renee Brown, APRN
• Danielle Bruno
• Cortney M Bryant, P.A.-C
• Tammy Buice
• Rebecca Varnum Bullion, LCSW
• Claire Bultemeier
• Lori Drake Bunch, LPC
• Cody Burch, DPT
• Daniel C. Burchfield, D.M.D.

• Pediatric Occupational Therapist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.