LEAH ANN BULOW (MSPT) – Physical Therapist, NPI 1891732020

LEAH ANN BULOW (MSPT) is a healthcare provider. based in Ooltewah, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. PT7777 (GA). The NPI Number for LEAH ANN BULOW (MSPT) is 1891732020

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LEAH ANN BULOW (MSPT)
NPI
1891732020
Phone
(423) 238-7217
Address
8823 PRODUCTION LN
Enumeration Date
31 May 2006
Last Update Date
25 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8668063599
Graduation Year
2003 (23 years ago)
PAC ID
8729049960
Group Practice PAC ID
4082027727
Professional Enrollment ID
I20041021000588
Address ID
GA30303XXXXATXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for LEAH ANN BULOW (MSPT)

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-7217

    Fax: (423) 238-3473

    Type: Mailing

  • Towne Lake Parkway, Dobbs Estates, Woodstock, Cherokee County, Georgia, 30188-3915, United States

    BLDG. 1200, SUITES 100 & 110

    WOODSTOCK, GA 301895540

    Phone: (770) 926-2744

    Fax: (770) 926-2794

    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: 2004-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041021000588IPhysical Therapist In Private PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37363)

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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: 4082027727View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Does LEAH ANN BULOW (MSPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LEAH ANN BULOW (MSPT) uses 1891732020.
Is LEAH ANN BULOW (MSPT) listed as active for patients and plans?
The listing shows LEAH ANN BULOW (MSPT) as active in the NPI system.
What is LEAH ANN BULOW (MSPT)'s specialty?
The listing groups LEAH ANN BULOW (MSPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does LEAH ANN BULOW (MSPT) serve?
LEAH ANN BULOW (MSPT)'s listing highlights Ooltewah, Tennessee; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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