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

Jeffrey Dale Bullock, PT

Individual provider Physical Therapist · NPI 1922297613

Jeffrey Dale Bullock, PT is a Physical Therapist in Camp Pendleton, California. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2016 San Jacinto Rd
Camp Pendleton, CA 92054
Phone: (760) 719-4191
Fax: (760) 719-4267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 0011340 (CO)
Physical Therapist Taxonomy 225100000X · Licence PTL.0011340 (CO)

Record details

NPI number1922297613
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 17, 2007
Last updated in NPPESMay 16, 2024
Certification dateMay 9, 2024

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