Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Derek Bullen

Individual provider Physical Therapy Assistant · NPI 1710213772

Derek Bullen is a Physical Therapy Assistant in Heathrow, Florida. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

1485 International Pkwy
Heathrow, FL 32746-5303 Not confirmed with CMS for 16 years — call before visiting
Phone: (800) 798-6035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3901 (TN)

Record details

NPI number1710213772
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2009
Last updated in NPPESOctober 27, 2009

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