P Praxis·MD
● Active Type 1 · Individual

Jaclyn Bulluck, PT, DPT

Physical Therapist·Dacula, GA· NPI 1417801663 · Enumerated 2026 · 0 years on NPI
Bulluck is 1 of 78 physical therapist providers in Dacula and 1 of 7225 in Georgia.
NPI age
— years
Enumerated 2026-02-24
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
0 years
↓ 10 yr below median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-02Enumerated in NPPES
2026 2026

Where they practice

Practice location
1854 Auburn Rd Ste 101
Dacula, GA 300191130
📞 7709046009fax 7709042357
Mailing address
1854 Auburn Rd Ste 101
Dacula, GA 300191130
📞 7709046009fax 7709042357

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT018136 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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