Bloom Therapy Resources, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM THERAPY RESOURCES, LLC

Practice address

755 Highway 105
Palmer Lake, CO 80133-9039

Phone

(719) 373-3933

Fax

(719) 434-9627

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Tania Lorell Rife, M.A., CCC/SLPNPI 1790074946

Title

Speech-Language Pathologist

Phone

(719) 373-3933

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Play on Speech Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

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

• Tania Lorell Rife, M.A., CCC/SLP

  • Speech-Language Pathologist
  • Palmer Lake, CO
  • NPI 1790074946

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1134411663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801330430",
            "telephone_number": "719-373-1010",
            "fax_number": "719-434-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGHWAY 105",
            "city": "PALMER LAKE",
            "state": "CO",
            "postal_code": "801339039",
            "telephone_number": "719-373-3933",
            "fax_number": "719-434-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM THERAPY RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "RIFE",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "LORELL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "719-373-3933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001003",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73934283",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bloomtherapyresources.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "755 Highway 105",
            "city": "Palmer Lake",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801339039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Play on Speech",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Play on Speech",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Palmer Lake, CO
• Providers in Palmer Lake, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.