Elyse Bloomfield, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60569001 Issued in WA

Practice address

2324 Eastlake Ave E Ste 100
Seattle, WA 98102-6532

Phone

(617) 281-3340

NPI assigned

Oct 30, 2015

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  NPD
• On Site Dermatology of Washington PLLC

  • Dermatology Physician
  • Seattle, WA
  • NPI 1083135693
  NPD (past)

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1053783951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 FRANKLIN AVE E APT 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023458",
            "telephone_number": "617-281-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 EASTLAKE AVE E STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981026532",
            "telephone_number": "617-281-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Fairview Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981095360",
            "country_code": "US",
            "telephone_number": "206-254-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "ELYSE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-03-15",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60569001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "60569001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Sophia Skadhauge Bloom, MD
• Jacob Cameron Bloom, MD
• Kendra Bloom, LMFTA, M.A.
• Mariah Bloom
• Rebecca Isadora Bloom, LMHC
• Tiffany J Bloomingdale, ND
• Dale S Bloomquist, DDS
• Joshua Bloomstein
• Margaret Bloor, PA-C
• Jed Daniel Blore, PHD, MSW

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.