Organization Active NPI

Blossom Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Nashville, TN
National Provider Identifier
1013640416
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOSSOM PEDIATRIC THERAPY, LLC
Practice address
801 12TH Ave S Apt 119
Nashville, TN 37203-6161
Phone
(256) 479-2650
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Sydney Zari, MS, CCC-SLPNPI 1508499724
Title
Speech-Language Pathologist, Owner
Phone
(256) 479-2659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

801 12TH Ave S Apt 119
Nashville, TN 37203-6161

Mailing address

801 12TH Ave S Apt 119
Nashville, TN 37203-6161
Phone (256) 479-2650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1013640416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 12TH AVE S APT 119",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036161",
            "telephone_number": "256-479-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 12TH AVE S APT 119",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036161",
            "telephone_number": "256-479-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ZARI",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "256-479-2659",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.