Amy N Bullock, PT, DPT
Individual provider Active NPI Physical Therapist · Pineville, NC
NPI 1285067504 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1285067504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P14397 (NC)
- Practice address
- 10000 Pineville Matthews Rd
Pineville, NC 28134-7552 - Phone
- (980) 272-8044
- NPI assigned
- Aug 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8978 | SC | MD | Dentist |
| 14397 | NC | MD | General Practice Dentistry |
| P14397 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortress Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
10000 Pineville Matthews Rd
Pineville, NC 28134
Phone (980) 272-8044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8978 | SC | |
| Physical Therapist | 225100000X | P14397 | NC | Yes |
Addresses
Primary practice location
10000 Pineville Matthews Rd
Pineville, NC 28134-7552
Mailing address
10000 Pineville Matthews Rd
Pineville, NC 28134-7552
Phone (980) 272-8044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12594991 | Other | INDIVIDUAL NPI |
Other providers in Pineville, NC
- Brian Wayne Bowman
- Amy Bradley
- Tamika Lashawn Brinson
- Angela Marie Briseno
- Scott Buie
- Amy W Bumgarner
- Scott Arthur Burbank
- Colleen Burnham
- Burrow Welchel Culp PLLC - 6
- Rebecca Nicole Butler
All providers in Pineville, NC · Physical Therapist 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 Apr 24, 2025. 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.