Active NPI
Blossom & Bloom Therapy Services, LLC.
- Occupational Therapist
- Sebastian, FL
National Provider Identifier
1013655000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- BLOSSOM & BLOOM THERAPY SERVICES, LLC.
- Practice address
- 1005 Barber St
Sebastian, FL 32958-5560 - Phone
- (772) 321-5042
- NPI assigned
- May 20, 2022
- Last updated
- May 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenna Taylor
- Title
- Occupational Therapist/Owner
- Phone
- (772) 321-5042
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
1005 Barber St
Sebastian, FL 32958-5560
Mailing address
1005 Barber St
Sebastian, FL 32958-5560
Phone (772) 321-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024670900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Vero Beach, FL
- NPI 1831695956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1013655000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BARBER ST",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329585560",
"telephone_number": "772-321-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BARBER ST",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329585560",
"telephone_number": "772-321-5042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM & BLOOM THERAPY SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JENNA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
"authorized_official_telephone_number": "772-321-5042"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024670900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebastian, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.