Natalie Bullock, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4484 Issued in ME

Practice address

618 Main St
Lewiston, ME 04240-5935

Phone

(207) 795-6110

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Female

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 ME

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

NR Maine LLCGroup PAC ID 0648783308, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• NR Maine LLC

  • Rehabilitation Clinic/Center
  • Scarborough, ME
  • NPI 1902616568
  Medicare reassignment Care Compare group NPD
• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463

  Occupational Therapist

  Medicare reassignment NPD
• NR Maine LLC

  • Community/Behavioral Health Agency
  • Lewiston, ME
  • NPI 1235949801
  NPD
• NR Maine, LLC

  • Rehabilitation Clinic/Center
  • Augusta, ME
  • NPI 1255122818
  NPD

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1619749298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012622",
            "telephone_number": "802-578-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-795-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Science Park Rd",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040746112",
            "country_code": "US",
            "telephone_number": "207-761-8402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "NATALIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Delos Buck, MD
• Jacob Nicholas Budke, PA-C
• Debra K Buege, CRNA
• Stephen Bennett Buergin, PA-C
• Building Blocks Occupational Therapy Services, Inc.
• Patricia E Buls, APRN BC
• Sarah Elizabeth Bunnitt, LMT
• Rebecca Bunoski, APRN-CNP
• Janice Lavoie Bureau, LCSW, ACSW
• Matthew P Bureau, PA-C

• Occupational Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.