David Michael Bullock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21045 Issued in MD

Practice address

11120 New Hampshire Ave
Suite 506
Silver Spring, MD 20904-2633

Phone

(301) 592-8200

Fax

(775) 796-6203

NPI assigned

Nov 14, 2006

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy and Pain Management Center LLCGroup PAC ID 8729172275, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.37 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.56

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy and Pain Management Center LLC

  dba White Oak Physical Therapy

  • Rehabilitation Clinic/Center
  • Silver Spring, MD
  • NPI 1538282827

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Green Tree Therapeutics LLC

  dba White Oak Physical Therapy and Pain Management Center

  • Rehabilitation Practitioner
  • Silver Spring, MD
  • NPI 1801019088

  Physical Therapist

  NPD (past) Authorized official
• Physical Therapy and Pain Management Center LLC

  dba College Park Physical Therapy & Hand Rehabilitation

  • Rehabilitation Clinic/Center
  • Riverdale Park, MD
  • NPI 1982337424
  NPD (past) Authorized official
• Physical Therapy and Pain Management Center LLC

  • Hand Physical Therapist
  • Silver Spring, MD
  • NPI 1447599097
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1447322482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12334 SANDY POINT CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041874",
            "telephone_number": "301-572-2795",
            "fax_number": "775-796-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 506",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-592-8200",
            "fax_number": "775-796-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4595 Van Buren St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Riverdale Park",
            "state": "MD",
            "postal_code": "207371080",
            "country_code": "US",
            "telephone_number": "301-864-0009",
            "fax_number": "301-864-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "870409",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dorlin Bukirwa
• Michael William Bulger, PH.D.
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• Elynne T. Bunnag
• Jesus A Burbano, MD
• Madeeja Burch

• Physical Therapist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.