Active NPI
Thomas Jacob Bull, PTA
- Physical Therapy Assistant
- Round Rock, TX
National Provider Identifier
1487135091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2076756
- Practice address
- 1000 E Main St
Round Rock, TX 78664-4442 - Phone
- (512) 634-3000
- NPI assigned
- Aug 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2076756 | TX | Primary |
Addresses
Primary practice location
1000 E Main St
Round Rock, TX 78664-4442
Mailing address
207 Chandler Crossing TRL
Round Rock, TX 78665-2837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2076756 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1487135091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 CHANDLER CROSSING TRL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786652837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MAIN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786644442",
"telephone_number": "512-634-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULL",
"first_name": "THOMAS",
"middle_name": "JACOB",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2076756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- My-Huong Elsa Bui, PT, MPT
- Toai Phuoc Bui, DO
- Building a Stronger Community Tomorrow Through the Children of Today
- Building a Stronger Community Tomorrow Through the Children of Today I
- Bukason Group LLC
- Adrienne Marie Bunch, M.S., CCC-SLP
- Haley A Bunnell, MA, BCBA
- Carissa Ruth Burch
- Burchard Enterprises, PA
- David Burden, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.