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

Scott Bullard, PT

Individual provider Physical Therapist · NPI 1235457128

Scott Bullard, PT is a Physical Therapist in Private Practice in Mokena, Illinois. Qualified in 2010, 16 years ago. Practices with Illinois Luna Care Physical Therapy LLC, a 129-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
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

19841 Wolf Rd
Mokena, IL 60448-1315
Phone: (708) 479-0320
Fax: (708) 479-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1235457128
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESMay 17, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Illinois Luna Care Physical Therapy Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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