Active NPI
Blossom Beyond Boundaries LLC
- Pediatric Occupational Therapist
- Whitehall, PA
National Provider Identifier
1164289658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- BLOSSOM BEYOND BOUNDARIES LLC
- Practice address
- 3212 Lehigh St
Whitehall, PA 18052-3230 - Phone
- (484) 769-9359
- NPI assigned
- Mar 1, 2024
- Last updated
- Mar 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leeann Bower, MS, OTR/L
- Title
- Own/Occupational Therapist
- Phone
- (484) 769-9359
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
3212 Lehigh St
Whitehall, PA 18052-3230
Mailing address
3212 Lehigh St
Whitehall, PA 18052-3230
Phone (484) 769-9359
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1164289658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 LEHIGH ST",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180523230",
"telephone_number": "484-769-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 LEHIGH ST",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180523230",
"telephone_number": "484-769-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOM BEYOND BOUNDARIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "BOWER",
"authorized_official_first_name": "LEEANN",
"authorized_official_title_or_position": "OWN/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "484-769-9359",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitehall, PA
- Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Medical Care Whitehall)
- Birchwood Behavioral Health Services
- Caitlyn Blake
- Hannah Blake, PT, DPT
- Danielle Bloomberg, SLP L
- Bluespring Staffing Services LLC (Bluesprings Agency)
- Rachael Bond, MA, MT-BC
- Tracy Borkenhagen
- Dana Lyn Bortz, MSW, LCSW
- Boscovs Department Store LLC (Boscov's Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.