NPIMap

Individual provider Active NPI

Jessica Bloomgarden, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Lauderdale, FL
National Provider Identifier
1013158427
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME116270 Issued in FL
Practice address
1516 E Las Olas Blvd
Fort Lauderdale, FL 33301-2346
Phone
(872) 231-3162
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME116270 FL Primary

Addresses

Primary practice location

1516 E Las Olas Blvd
Fort Lauderdale, FL 33301-2346

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505002172 FL Practitioner - Physical Medicine and Rehabilitation 7315099249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Columbia University College of Physicians and Surgeons, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Health Rehabilitation LLCGroup PAC ID 4284952615, 153 clinicians
Scott D Tannenbaum MD PAGroup PAC ID 9436053667, 3 clinicians

Practice addresses (Care Compare)

1516 E Las Olas Blvd
Fort Lauderdale, FL 33301-2346
Phone (201) 654-6397

4399 Nob Hill Rd
Sunrise, FL 33351-5813
Phone (954) 746-1338

Hospital & facility affiliations

  • Highlite Home Care, Inc. Home health agency, Fort Lauderdale, FL, CCN 108372
  • Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
  • Working Nurses Healthcare LLC Home health agency, Margate, FL, CCN 687057
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Kindred Hospital-South Florida-Ft Lauderdale Inpatient rehabilitation facility, Fort Lauderdale, FL, CCN 10TA10

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott D Tannenbaum MD PA Physical Medicine & Rehabilitation CurrentSince Oct 1, 2020 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2023 Accepting new patients

Locations

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

5951 Colonial Dr
Margate, FL 33063
Phone (202) 415-9235

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1013158427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E LAS OLAS BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012346",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMGARDEN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME116270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.