Active NPI
Joseph Frederick Bullert, OT
- Hand Occupational Therapist
- Bothell, WA
National Provider Identifier
1841676186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- Practice address
- 18606 Bothell Way NE
Bothell, WA 98011 - Phone
- (425) 892-2243
- Fax
- (425) 527-6948
- NPI assigned
- Aug 10, 2015
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | WA | Primary |
Addresses
Primary practice location
18606 Bothell Way NE
Bothell, WA 98011
Mailing address
18504 Bothell Way NE
Bothell, WA 98011
Phone (425) 892-2243
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 |
|---|---|---|---|
| Rehabilitation Institute of Washington PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1457433104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1841676186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18504 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "98011",
"telephone_number": "425-892-2243",
"fax_number": "425-527-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18606 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "98011",
"telephone_number": "425-892-2243",
"fax_number": "425-527-6948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLERT",
"first_name": "JOSEPH",
"middle_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.