Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn R Bullock, DPT

Individual provider Physical Therapist · NPI 1457834822

Jacquelyn R Bullock, DPT is a Physical Therapist in Private Practice in Columbia Falls, Montana. Qualified in 2016, 10 years ago. Practices with Glacier Peaks Mobile Physical Therapy LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
10
Licensed in
MT
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

880 Hodgson Rd
Columbia Falls, MT 59912-9026
Phone: (406) 426-1560
Fax: (406) 510-2933
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 214 2nd St E Ste 102, Whitefish, MT 59937-2447 — (406) 730-2224

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11116 (MT)

Record details

NPI number1457834822
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Glacier Peaks Mobile Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia Falls