NPIMap

Organization Active NPI

Bunker Physical Therapy LLC

  • Physical Therapist
  • Tyler, TX
National Provider Identifier
1922498922
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BUNKER PHYSICAL THERAPY LLC
Practice address
5407 New Copeland Rd Ste 100
Tyler, TX 75703-3951
Phone
(903) 630-7204
Fax
(903) 630-7205
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Gaylord
Title
Credentialing Manager
Phone
(678) 837-7176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5407 New Copeland Rd Ste 100
Tyler, TX 75703-3951

Mailing address

PO Box 96225
Phoenix, AZ 85072-6225
Phone (903) 630-7204

Other names 1

  • PT Solutions of Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120001416 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729304829 Receives reassigned benefits from 5 practitioners
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5407 New Copeland Rd
Ste 100
Tyler, TX 75703
Phone (903) 595-6126

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1922498922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726225",
            "telephone_number": "903-630-7204",
            "fax_number": "903-630-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033951",
            "telephone_number": "903-630-7204",
            "fax_number": "903-630-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "678-837-7176"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Solutions of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.