Active NPI
Hope Bullock, OTR/L
- Occupational Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6192
- Practice address
- 515 W Butler Rd Ste a
Greenville, SC 29607-4833 - Phone
- (864) 757-9918
- Fax
- (864) 757-9921
- NPI assigned
- Apr 11, 2017
- Last updated
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006692 | GA | |
| Occupational Therapist | 225X00000X | 6192 | SC | Primary |
Addresses
Primary practice location
515 W Butler Rd Ste a
Greenville, SC 29607-4833
Mailing address
219 Gerald Dr
Simpsonville, SC 29681-4111
Phone (864) 757-9918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 Crossroads PLZ
SPC 20
Fort Mill, SC 29708-8016
Phone (803) 298-8995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006692 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Integrated Therapy Centers, LLC | Current | Accepting new patients |
Locations
2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023
809 Crossroads Plz
Spc 20
Fort Mill, SC 29708
Phone (803) 298-8995
1007 Grove Rd
#C
Greenville, SC 29605
Organizations & group practices 1
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.
-
- Physical Therapist
- Greenville, SC
- NPI 1184673600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1265965743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 GERALD DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814111",
"telephone_number": "864-757-9918",
"fax_number": "864-757-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W BUTLER RD STE A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074833",
"telephone_number": "864-757-9918",
"fax_number": "864-757-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "HOPE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006692",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "6192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.