Bloom Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BLOOM PHYSICAL THERAPY PLLC

Practice address

401 Penbrooke Dr Ste 2Z
Penfield, NY 14526-2042

Phone

(585) 502-9531

Fax

(888) 799-0270

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Rachel Ann GulvinNPI 1669802971

Title

Owner

Phone

(585) 502-9531

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Rachel Ann Gulvin, DPT

  • Physical Therapist
  • Penfield, NY
  • NPI 1669802971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781395200000",
    "number": "1124730346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SAINT JAMES DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802247",
            "telephone_number": "585-502-9531",
            "fax_number": "585-206-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PENBROOKE DR STE 2Z",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262042",
            "telephone_number": "585-502-9531",
            "fax_number": "888-799-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Saint James Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802247",
            "country_code": "US",
            "telephone_number": "585-944-9534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "GULVIN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-502-9531"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Scott Berliner
• Calisha Marie Bertram, LMHC-D
• Kristin Bezek, DC
• Elisa Annette Biedenbach, LPN
• Heather Leeanne Black, RN
• Rachael Madeline Boehmer, LCSW
• Claire E Bollin
• Jeffrey Daniel Bouvy, FNP-C
• Scott Bowlin
• Brandon Family Medicine PLLC

• Physical Therapist in Penfield, NY
• Providers in Penfield, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.