Bloom Neuro Physical Therapy and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BLOOM NEURO PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

24010 Clyde Cockerham LN
Denham Springs, LA 70726-7299

Phone

(225) 485-4635

NPI assigned

Sep 2, 2026

Organization subpart

No

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

Authorized official

Name

Courtney Stears Boyle, PT, DPT, NCS

Title

Owner

Phone

(225) 485-4635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1134038631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24010 CLYDE COCKERHAM LN",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267299",
            "telephone_number": "225-485-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24010 CLYDE COCKERHAM LN",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267299",
            "telephone_number": "225-485-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM NEURO PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "STEARS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-485-4635",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Miley Blackburn, L.P.C.
• Jason Blackledge, CIT
• Jennifer Elizabeth Blackwell, LPN
• Adrian Blake
• McCall Blank
• Corbyn D'Ann Blouin
• Makayla Sherie Bonanno
• Jordan Broughton Boone, DMD
• Matthew John Bordelon, PHARMD
• Whitnee Bossier

• Physical Therapist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.