Active NPI
Andrew Bullock, PT, DPT
- Physical Therapist
- Dallas, TX
National Provider Identifier
1831974575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 8611 Hillcrest Ave
Dallas, TX 75225-4203 - Phone
- (740) 485-5515
- NPI assigned
- Aug 30, 2023
- 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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
8611 Hillcrest Ave
Dallas, TX 75225-4203
Mailing address
8240 Meadow Rd Apt 2311
Dallas, TX 75231-3723
Phone (740) 485-5515
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wowyfitness, LLC | Physical Therapist | Current | Accepting new patients |
| On Point MVP LLC | Physical Therapist | Current | Accepting new patients |
Locations
445 Walnut St
Ste 109
Richardson, TX 75081
Phone (972) 899-3473
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1831974575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8240 MEADOW RD APT 2311",
"city": "DALLAS",
"state": "TX",
"postal_code": "752313723",
"telephone_number": "740-485-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8611 HILLCREST AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752254203",
"telephone_number": "740-485-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "ANDREW",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.