Active NPI
Abigail Grace Bullock, DPT
- Physical Therapist
- Whiteville, NC
National Provider Identifier
1851215990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P25176
- Practice address
- 812 Pinckney St
Whiteville, NC 28472-3308 - Phone
- (910) 207-6696
- NPI assigned
- Aug 10, 2026
- Last updated
- Aug 25, 2026
- Sex
- Female
- 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 | P25176 | NC | Primary |
Addresses
Primary practice location
812 Pinckney St
Whiteville, NC 28472-3308
Mailing address
812 Pinckney St
Whiteville, NC 28472-3308
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P25176 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Health & Physical Therapy , LLC | Physical Therapist | Current | Accepting new patients |
| Micah Gregory Merritt | Physical Therapist | Past | Accepting new patients |
Locations
812 Pinckney St
Whiteville, NC 28472
Phone (910) 207-6696
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Whiteville, NC
- NPI 1073025631
Physical Therapist
-
dba Renew Health and Physical Therapy
- Physical Therapist
- Whiteville, NC
- NPI 1912439464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1851215990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 PINCKNEY ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 PINCKNEY ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723308",
"telephone_number": "910-207-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "ABIGAIL",
"middle_name": "GRACE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P25176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
- Brightside Counseling Services, PLLC (New Beginnings Emergency Shelter, Incorporated)
- Monica S Brinson, LPTA
- Britt Mobile Medic
- Nicole H Britt
- Elizabeth C Brown, MSP, CCC-SLP
- Michelle Elaine Bullock
- Clara Margaret Burns-Trogdon, MS, CCC-SLP
- Alexandria Burton, MS, OTR/L
- Robert Lee Buskey, LCAS
- Briana D Cahn, R.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.