Colby Dee Bullock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13398778-8016 Issued in UT

Practice address

370 E South Temple Ste 150
Salt Lake City, UT 84111-1279

Phone

(801) 521-9222

Fax

(801) 521-9333

NPI assigned

Jun 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Texas Tech University Health Science Center School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All in Physical Therapy LLCGroup PAC ID 9537424007, 6 clinicians

Practice addresses (Care Compare)

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.

• All in Physical Therapy LLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1083123251
  Medicare reassignment Care Compare group NPD
• All in Physical Therapy, LLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1992539068
  NPD
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  NPD (past)

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1487339040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 W 1850 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436162",
            "telephone_number": "385-535-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111279",
            "telephone_number": "801-521-9222",
            "fax_number": "801-521-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "COLBY",
        "middle_name": "DEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13398778-8016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Bullard, MOT, OTR/L
• Carol Ann Bullard, APRN
• Brittany Bullen
• Shelby Buller
• Robert Austin Bulloch, LCSW
• Hunter Bullock, MLS(ASCP)
• Shane Bullock
• Stephen D Bullock, APRN
• Emily Megan Bullough
• Timothy Stephen Bump

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.