Laurie Bullerman, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008279 Issued in MI

Practice address

1401 Cedar St NE
Grand Rapids, MI 49503-1375

Phone

(616) 430-5926

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sensational Steps Therapy, Inc

  • Multi-Specialty Clinic/Center
  • Grand Haven, MI
  • NPI 1316356348
  Medicare reassignment
• Mi Floortime LLC

  • Occupational Therapist
  • Spring Lake, MI
  • NPI 1689491607
  NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1437651171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031375",
            "telephone_number": "616-430-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLERMAN",
        "first_name": "LAURIE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5201008279",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigid Bulger, PA-C
• Kati Bullard, CNA
• Suzanne M. Bullard, R.PH.
• Eric Gerard Bullen Jr.
• Kathleen Buller, NP
• Bruce L Bullion, O.D.
• Hannah Bullock, OTR/L, C/NDT
• Tnae Bullock
• Angela L Bultema, RDH
• Anna Bultema

• Occupational Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.