Dr. Jennifer Sullivan Bullock, PT, DPT

Individual provider Physical Therapist · NPI 1164907986

Dr. Jennifer Sullivan Bullock, PT, DPT is a Physical Therapist in Private Practice in Mountain Village, Colorado. Graduated from University of Texas Medical Branch at Galveston in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying: 34
Trained at: University of Texas Medical Branch at Galveston
Licensed in: TX
In the registry since: 2018

What do these letters mean?

PT — Physical Therapist: A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy: The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

622 Mountain Village Blvd Ste 102
Mountain Village, CO 81435-9529
Phone: (214) 864-2440

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

Specialties & licences

Physical Therapist (primary)	Taxonomy 225100000X · Licence 1081933 (TX)

Record details

NPI number	1164907986
Entity type	Individual (Type 1)
Gender	Female
Credentials	PT , DPT
Sole proprietor	Yes
NPI enumerated	September 27, 2018
Last updated in NPPES	September 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical school	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated	1992 (34 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	2 on file with Medicare