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

Matthew Ryan Bullerman, COTA

Individual provider Occupational Therapy Assistant · NPI 1245796754

Matthew Ryan Bullerman, COTA is an Occupational Therapy Assistant in Mount Airy, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2019.

Licensed in
NC, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

542 Allred Mill Rd
Mount Airy, NC 27030-2202
Phone: (336) 789-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 9779 (NC)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 0131000294 (VA)

Record details

NPI number1245796754
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019
Mailing address114 Wildcat Rd, Hillsville, VA 24343-1950

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