Bloom Pediatric Therapy

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

BLOOM PEDIATRIC THERAPY

Practice address

1286 S Barnes Dr
Bloomington, IN 47401-8632

Phone

(812) 320-8892

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Dustin Plummer

Title

Ceo

Phone

(812) 320-8892

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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

• Ashleigh Hope Cummings, OTR

  • Occupational Therapist
  • Bloomington, IN
  • NPI 1619054285
  NPD
• Elizabeth Mathews, OTR

  • Occupational Therapist
  • Bloomington, IN
  • NPI 1447810411
  NPD
• Abbey Barker, M.A., CF-SLP

  • Speech-Language Pathologist
  • Bloomington, IN
  • NPI 1275186561
  NPD (past)
• Sierra Bell, SLP

  • Speech-Language Pathologist
  • Bloomington, IN
  • NPI 1205432259
  NPD (past)
• Nicolette Leach, PT

  • Physical Therapist
  • Evansville, IN
  • NPI 1235784885
  NPD (past)
• Lillian Martindale

  • Speech-Language Pathologist
  • Bloomington, IN
  • NPI 1073182697
  NPD (past)

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1053842872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5443",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474075443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 S BARNES DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018632",
            "telephone_number": "812-320-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "PLUMMER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-320-8892"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Therese Block, DENTIST
• Michael James Paul Block, LCSW
• Brianna Blohm
• Lugenia D Blondell, NP
• Bloom in Nutrition Services
• Julie G Bloom, LCSW
• Bloomington Advanced Surgery Center, LLC
• Bloomington Al, LLC
• Bloomington Anesthesiologists PC
• Bloomington Area Birth Services

• Rehabilitation Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.