ANDREA DENISE BULLOCK
NPI 1871297564
Recreation Therapist in Norwalk, CA

Q: What is Andrea Bullock's NPI number?

The NPI number for Andrea Bullock is 1871297564. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Andrea Bullock's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Bullock was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2023

12636 BLOOMFIELD AVE APT 51, NORWALK, CA 90650(310) 228-7577 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Andrea Denise Bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA DENISE BULLOCK (NPI 1871297564) is an individual recreation therapist in Norwalk, California, licensed in California (5303-T) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1871297564

Entity TypeIndividualFemale

Primary Taxonomy225800000X

Provider Legal NameANDREA DENISE BULLOCK

Location Address12636 BLOOMFIELD AVE APT 51Norwalk, CA 90650-1411

Mailing Address14445 Olive View Dr # 1d120Sylmar, CA 91342-1437 · (747) 210-4204

Phone(310) 228-7577

Sole ProprietorYes

Enumeration DateMarch 28, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1871297564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225800000X

License✔ Licensed in CA · 5303-T

Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

12636 BLOOMFIELD AVE APT 51, Norwalk, CA 90650

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Bullock's NPI number?

The NPI number for Andrea Bullock is 1871297564. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Andrea Bullock located?

Andrea Bullock practices at 12636 Bloomfield Ave Apt 51, Norwalk, CA 90650. The listed phone number is (310) 228-7577.

What is Andrea Bullock's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Andrea Bullock was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.