DR. WILLIAM JESSE BULLARD (PT, DPT) – Physical Therapist, NPI 1154977080
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX
Provider Addresses for DR. WILLIAM JESSE BULLARD (PT, DPT)
2069 KATIES WAY
CLEARFIELD, UT 840154324
Phone: (801) 390-6524
Type: Mailing
3100 OLYMPUS BLVD STE 500
COPPELL, TX 750195473
Phone: (866) 221-5405
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: 2025-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230615001369 | I | Physical Therapist In Private Practice | WA | TBD |
| I20240221002282 | I | Physical Therapist In Private Practice | AK | TBD |
| I20250523000485 | I | Physical Therapist In Private Practice | UT | TBD |
| I20251025000414 | I | Physical Therapist In Private Practice | NM | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 135 | 21 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 78 | 18 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 60 | 18 | $0 |
Insurance plans in this area (ZIP 84015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NM | |
| - | NM | |
| Physical Therapist In Private Practice | NM | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NM | |
| - | MA | |
| Physical Therapist In Private Practice | NM | |
| - | NM | |
| Physical Therapist In Private Practice | DE | |
| Physical Therapist In Private Practice | NM |
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