Karla Kay Bullock, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

132789 Issued in KY

Practice address

1488 Spiro Rd
Mount Vernon, KY 40456-6316

Phone

(606) 308-2105

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1518447259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 SPIRO RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404566316",
            "telephone_number": "606-308-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 SPIRO RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404566316",
            "telephone_number": "606-308-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "KARLA",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KY",
            "license": "132789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya M Brock, PHARM D
• Crystal D Brown, ARNP
• Courtney Parrish Browning, APRN, PNP-BC
• David Shirley Bullock, M.D.
• Hannah Renee Bullock, MD
• April Lasha Bussell, OTR/L
• Jessica Carpenter, APRN
• Jennifer T. Cash, APRN
• Lura Cash, D.M.D
• Center for Recovery and Wellness

• Physical Rehabilitation Occupational Therapist in Mount Vernon, KY
• Providers in Mount Vernon, KY by specialty
• Physical Rehabilitation Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.