Victoria Renee Bloom, MPT, CWS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015786 Issued in PA

Practice address

747 Cypress St
Yeadon, PA 19050-3504

Phone

(215) 850-6323

NPI assigned

Jan 12, 2011

Last updated

Apr 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bloom Physical Therapy and Wound Care LLC

  • Physical Therapy Clinic/Center
  • Yeadon, PA
  • NPI 1982245411
  Authorized official Same address or phone

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1093010662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 CYPRESS ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 CYPRESS ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503504",
            "telephone_number": "215-850-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "VICTORIA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MPT, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32897",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01653200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003396",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "015786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Baiano, COTA/L
• Donald Abraham Ballah
• Elizabeth Anne Berghoff, COTA/L
• Johnnie Marie Berry, LCSW
• Bloom Physical Therapy and Wound Care LLC
• Blossom Health & Wellness (Blossom Health and Wellness)
• Bodypoint
• Sheavone Boyd
• Tiffany Bracey, LSW
• Camilah D Carter

• Physical Therapist in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.