Casey Leann Soileau Bullard, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1305288 Issued in TX

Practice address

103 Davis Rd Ste M
League City, TX 77573-2769

Phone

(281) 338-6777

NPI assigned

Dec 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hope Rehab League City

  • Physical Therapy Clinic/Center
  • League City, TX
  • NPI 1821080938

  Physical Therapist

  NPD (past)
• Red River Rehab, LLC

  • Physical Therapy Clinic/Center
  • Pineville, LA
  • NPI 1427055193
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1861962771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DAVIS RD STE M",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DAVIS RD STE M",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732769",
            "telephone_number": "281-338-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "CASEY",
        "middle_name": "LEANN SOILEAU",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1305288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Brusnighan, D.C.
• Suzanne Marie Bucher
• Amy Bui
• Brian Bui, OD
• Building Blocks Therapy of Texas PLLC
• Johna Jimenez Burdeos, RD
• Alexandria Burley, DPT
• Tracey Leigh Burnett-Greenup, LPC
• Trinity Burnett
• Ariel Lei Burris, BA, RBT

• Physical Therapist in League City, TX
• Providers in League City, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.