RENEE BULLIS (DPT) – Physical Therapist, NPI 1316432610

RENEE BULLIS (DPT) is a healthcare provider. based in Cedar rapids, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2018020774 (MO). The NPI Number for RENEE BULLIS (DPT) is 1316432610

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
RENEE BULLIS (DPT)
NPI
1316432610
Phone
(319) 200-6102
Address
101 3RD AVE SW STE 102
Enumeration Date
28 June 2018
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164894161
Graduation Year
2018 (8 years ago)
PAC ID
6204183197
Group Practice PAC ID
9436447422
Professional Enrollment ID
I20180724001533
Address ID
MO641144408KA373XXTERX421
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for RENEE BULLIS (DPT)

  • 102, 3rd Avenue Southwest, Downtown, Cedar Rapids, Linn County, Iowa, 52404, United States

    CEDAR RAPIDS, IA 524045736

    Phone: (319) 200-6102

    Type: Mailing

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (726) 202-3039

    Type: Mailing

  • 373 W 101ST TER STE 220

    KANSAS CITY, MO 641144408

    Phone: (816) 489-4161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180724001533IPhysical Therapist In Private PracticeMOTBD
I20251230003169IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4715$0
97535Training for self-care or home management, each 15 minutes4013$0
97530Therapy procedure using functional activities3614$0
View full utilization report →

Insurance plans in this area (ZIP 52404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436447422View full group profile
NameSpecialtyState
-KS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKY
Occupational Therapist In Private PracticeMO
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Does RENEE BULLIS (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RENEE BULLIS (DPT) uses 1316432610.
Can I rely on RENEE BULLIS (DPT) being an active provider?
As of the registry snapshot, RENEE BULLIS (DPT) is marked active.
What is RENEE BULLIS (DPT)'s primary classification?
Physical Therapist is the headline specialty for RENEE BULLIS (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect RENEE BULLIS (DPT) on a map?
Expect Cedar Rapids, Iowa as a primary anchor for RENEE BULLIS (DPT) unless the record lists multiple sites.
Why does RENEE BULLIS (DPT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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