MATTHEW RYAN BULLERMAN (NPI# 1245796754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245796754 |
| Entity Type | Individual |
| Full Name | MATTHEW RYAN BULLERMAN |
| Credential | COTA |
| Practice Address |
542 Allred Mill Rd Mount Airy NC 27030-2202 |
| Mailing Address |
114 Wildcat Rd Hillsville VA 24343-1950 |
| Practice Telephone | 3367895076 |
| Mailing Telephone | 2767330374 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 0131000294 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 9779 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
542 ALLRED MILL RD |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209153 | Sean Tyler Best | Physical Therapist | 542 Allred Mill Rd, Mount Airy, NC 27030-2202 | 2020-09-13 |
| 1750930236 | Jennifer L Martin | Speech-Language Pathologist | 542 Allred Mill Rd, Mount Airy, NC 27030-2202 | 2019-09-08 |
| 1801452669 | Jamie Jones | Physical Therapist | 542 Allred Mill Rd, Mount Airy, NC 27030-2202 | 2019-05-16 |
| 1508422320 | Vicky Lynn Frye | Occupational Therapist | 542 Allred Mill Rd, Mount Airy, NC 27030-2202 | 2019-05-16 |
| 1225588536 | Mt. Airy Operating Company LLC | Skilled Nursing Facility | 542 Allred Mill Rd, Mount Airy, NC 27030-2202 | 2016-10-11 |
| 1649549080 | Paul Poretta | Physical Therapy Assistant | 542 Allred Mill Rd, Mount Airy, NC 27030-2202 | 2011-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285931311 | Angela B Palmer | Occupational Therapy Assistant | 2206 Ridge Crest Ln, Mount Airy, NC 27030-2483 | 2011-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1326652611 | Chelsea Stone | Occupational Therapy Assistant | 2036 Quill Ct, Kannapolis, NC 28083-6298 | 2020-09-03 |
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1386266583 | Corie Roberson | Occupational Therapy Assistant | 955 Spring Forest Rd Apt 2, Greenville, NC 27834-4976 | 2020-05-11 |
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1073143343 | Eastern Therapy Solutions, Pllc | Occupational Therapy Assistant | 3132 Chesswood Ln, Winterville, NC 28590-7992 | 2020-01-24 |
| 1710517578 | Leslie H Hutcherson | Occupational Therapy Assistant | 2560 Willard Rd # 5740, Winston Salem, NC 27107-5543 | 2020-01-21 |
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.