MISTY STAR BULLOCK , NPI 1639354335
Occupational Therapist in PHILADELPHIA, PA
Last Updated on : Jan 01,2008
About MISTY STAR BULLOCK (NPI 1639354335)
MISTY STAR BULLOCK is an Occupational Therapist provider in PHILADELPHIA, United States. Her medical specialization is Occupational Therapist .
1639354335 is NPI number of MISTY STAR BULLOCK.
MISTY STAR BULLOCK's primary taxonomy code based on NPI Lookup is 225X00000X with license number OC009582. This taxonomy code refers to Occupational Therapist.
MISTY STAR BULLOCK has more than 14 years of experience.
MISTY STAR BULLOCK current practice location address is 2032 S FRAZIER ST, PHILADELPHIA, PA. MISTY STAR BULLOCK can be reached out via phone at 267-736-9099 .
You can also correspond with MISTY STAR BULLOCK through mail at mailing address 2032 S FRAZIER ST, PHILADELPHIA, PA, United States. Mailing address contact number is 267-736-9099.
The enumeration date of MISTY STAR BULLOCK is 01-Jan-2008. The provider is registered as an Individual and the NPI record was last updated 15 years ago.1639354335 NPI Information
Basic NPI information of MISTY STAR BULLOCK (NPI 1639354335) is provided below.
| Name | MISTY STAR BULLOCK |
|---|---|
| National Provider Id (NPI) | 1639354335 |
| Entity Type | Individual |
| Gender | F |
| Credential | |
| Practice Address | 2032 S FRAZIER ST,
PHILADELPHIA, PA, United States |
| Practice Telephone | 267-736-9099 |
| Practice Fax Number | |
| Mailing Address | 2032 S FRAZIER ST ,
PHILADELPHIA, PA, United States |
| Mailing Telephone | 267-736-9099 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jan-2008 |
| Last Updated Date | 01-Jan-2008 |
MISTY STAR BULLOCK (NPI 1639354335) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC009582 | PA |
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
MISTY STAR BULLOCK (NPI 1639354335) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT11929 | FL |
MISTY STAR BULLOCK (NPI 1639354335) Office Location
Office location of MISTY STAR BULLOCK is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1780630004 | ST PAUL PLACE SPECIALISTS, INC. | Internal Medicine, Interventional Cardiology | PO BOX 824173,
PHILADELPHIA, MD, United States |
26-May-2006 |
| 1215497185 | MARION COUNTY R-II SCHOOL DISTRICT | Local Education Agency (LEA) | 206 E WALNUT ST STE B,
SHELBINA, MO, United States |
25-Mar-2019 |
| 1063782480 | MARLEY BURNS | Pharmacist | 64 BURNS RD,
UNION, MS, United States |
02-Jan-2012 |
| 1053828764 | JULIE THOMAS | Physical Therapist | 4109 HIGHWAY 98 W,
SUMMIT, MS, United States |
03-Jan-2018 |
| 1588171128 | STEPHANIE EDWARDS | Nurse Practitioner, Psych/Mental Health | 1120 E MAIN ST STE 24,
PHILADELPHIA, MS, United States |
04-Jan-2018 |
| 1639157829 | LABORATORY CORPORATION OF AMERICA HOLDINGS | Clinical Medical Laboratory | PO BOX 2240,
BURLINGTON, NC, United States |
06-Jan-2006 |
| 1750703823 | TREMMIA SMITH | Counselor, Professional | 12881 ROAD 571,
PHILADELPHIA, MS, United States |
09-Jan-2014 |
| 1063560548 | MARLA M MOSS | Occupational Therapist | 100 HARDY AVE APT A3,
PHILADELPHIA, MS, United States |
08-Jan-2007 |
| 1184132219 | NESHOBA COUNTY GENERAL HOSPITAL | Clinic/Center | 1002 SAINT FRANCIS DR,
PHILADELPHIA, MS, United States |
10-Jan-2018 |
| 1356493951 | KRISTA L. BOYETTE | Family Medicine | 1106 CENTRAL DR,
PHILADELPHIA, MS, United States |
17-Jan-2007 |
| 1043363369 | SANDY ELIZABETH WHITE | Physical Therapy Assistant | 8592 PINE SPRINGS RD,
MERIDIAN, MS, United States |
19-Jan-2007 |
| 1841538030 | AMBER S RILEY | Nurse Practitioner | 10330 ROAD 375,
PHILADELPHIA, MS, United States |
22-Jan-2013 |
| 1811043771 | SCOTT ANTHONY HANCOCK | Chiropractor | 1010A E MAIN ST,
PHILADELPHIA, MS, United States |
25-Jan-2007 |
| 1578604955 | SHARON KAY ELDRIDGE HOLLAND | Pharmacist | 10712 ROAD 347,
PHILADELPHIA, MS, United States |
09-Feb-2007 |
| 1881991743 | SUNIL KUMAR | Family Medicine | 921 W BEACON ST,
PHILADELPHIA, MS, United States |
11-Feb-2011 |
| 1508322421 | TIAH RAE YORK | Registered Nurse | 210 HOSPITAL CIR,
CHOCTAW, MS, United States |
15-Feb-2019 |
| 1659644037 | HAROLD D THOMPSON | Physical Therapist | 4109 HIGHWAY 98 W,
SUMMIT, MS, United States |
16-Feb-2012 |
| 1003113432 | AMY LAUREN STEELE | Nurse Anesthetist, Certified Registered | 10280 ROAD 185,
PHILADELPHIA, MS, United States |
21-Feb-2011 |
| 1841325545 | NESHOBA COUNTY GENERAL HOSPITAL | Skilled Nursing Facility | 1001 HOLLAND AVE,
PHILADELPHIA, MS, United States |
22-Feb-2007 |
| 1750416459 | NESHOBA COUNTY GENERAL HOSPITAL | Medicare Defined Swing Bed Unit | 1001 HOLLAND AVE,
PHILADELPHIA, MS, United States |
22-Feb-2007 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1639354335?1639354335 is the NPI number of MISTY STAR BULLOCK.
What is the specialty for MISTY STAR BULLOCK?The Specialty of MISTY STAR BULLOCK is Occupational Therapist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|