Bulletproof Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BULLETPROOF PHYSICAL THERAPY LLC

Practice address

1005 Ennis St
Houston, TX 77003-3803

Phone

(713) 907-1276

NPI assigned

Jan 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyler Craig Humphrey, DPTNPI 1184023236

Title

Owner/ Physical Therapist

Phone

(757) 635-0372

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Humphrey, PT

  • Physical Therapist
  • Draper, UT
  • NPI 1184023236
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1376131144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 LEELAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770035202",
            "telephone_number": "757-635-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ENNIS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770033803",
            "telephone_number": "713-907-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLETPROOF PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "757-635-0372",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bullard
• Scholonda Shanae Bullard
• Agnes Velvette Bullen, M.D.
• Andrew Emile Buller, DC
• Megan Bullerwell
• Lindsey Bulloch, MCD, CCC-SLP
• Angela Bullock, M.S. CCC-SLP
• Karona Michelle Bullock, CCC-SLP
• Nyasha Onika Bullock, M.D.
• Zoe Bullock

• Physical Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.