NPIMap

Organization Active NPI

Bloomfield Physical Therapy

  • Physical Therapist
  • Tecumseh, KS
National Provider Identifier
1043860166
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BLOOMFIELD PHYSICAL THERAPY
Practice address
4310 SE Heathcliff Dr
Tecumseh, KS 66542-9736
Phone
(785) 313-0803
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Dr. Joseph Ellis Bloomfield, DPTNPI 1306387089
Title
Doctor of Physical Therapy
Phone
(785) 313-0803

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4310 SE Heathcliff Dr
Tecumseh, KS 66542-9736

Mailing address

4310 SE Heathcliff Dr
Tecumseh, KS 66542-9736
Phone (785) 313-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, AR, OH, TX, CO, IL, NM8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20191017000213 KS Part B Supplier - Clinic/Group Practice 2264763598 Receives reassigned benefits from 4 practitioners
Practice locations: Tecumseh, KS; Wichita, KS
O20200902003069 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 6 practitioners
Practice locations: Tecumseh, KS
O20201013000008 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 1 practitioner
Practice locations: Bentonville, AR
O20210802001474 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 4 practitioners
Practice locations: Delaware, OH
O20220315000455 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX
O20230321002785 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 6 practitioners
Practice locations: Falcon, CO
O20230510001580 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL
O20230808001188 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264763598 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

7661 McLaughlin Rd
#1011
Falcon, CO 80831
Phone (785) 367-2353

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1043860166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 SE HEATHCLIFF DR",
            "city": "TECUMSEH",
            "state": "KS",
            "postal_code": "665429736",
            "telephone_number": "785-313-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 SE HEATHCLIFF DR",
            "city": "TECUMSEH",
            "state": "KS",
            "postal_code": "665429736",
            "telephone_number": "785-313-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BLOOMFIELD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "785-313-0803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.