Blossom : Developmental Therapy Associates

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT17800 Issued in FL

Legal business name

BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES

Practice address

3111 Ponce de Leon
Coral Gables, FL 33134

Phone

(305) 444-9807

Fax

(305) 444-9808

NPI assigned

Oct 7, 2011

Last updated

Oct 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer A Burch, MPT

Title

President

Phone

(305) 444-9807

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Deborah Socorro Cuza, COTA/L

  • Occupational Therapy Assistant
  • Coral Gables, FL
  • NPI 1508130816
  NPD (past)
• Vanessa Strauss, PT

  • Pediatric Physical Therapist
  • Miami, FL
  • NPI 1538399548

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1184908139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 PONCE DE LEON",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 PONCE DE LEON",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-444-9807",
            "fax_number": "305-444-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-9807",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT17800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Blaske, ATC
• Alice Blavo, D.O.
• Blessed Steps Therapy LLC
• Faith Eileen Block, MD
• Mirtha Blondet, RMHCI
• Blossom ABA Co.
• Blue Sky Med Inc
• Blue Star Medical Transport Inc
• Blue Wave Medical Services, Inc.
• Jacqueline L Blue, PH.D.

• Pediatric Physical Therapist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.