Rebloom Home Therapy LLC

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Legal business name

REBLOOM HOME THERAPY LLC

Practice address

5816 Webster St
Omaha, NE 68132-2020

Phone

(347) 458-2611

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Timothy G Dunne

Title

Owner/Occupationaltherapist

Phone

(347) 458-2611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1124640032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 WEBSTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322020",
            "telephone_number": "347-458-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 WEBSTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322020",
            "telephone_number": "347-458-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBLOOM HOME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONALTHERAPIST",
        "authorized_official_telephone_number": "347-458-2611"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.