Amy Bloom, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

120733 Issued in AK

Practice address

1734 Prospect Dr
Palmer, AK 99645-9655

Phone

(252) 635-1788

NPI assigned

Oct 11, 2016

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, AK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arctic Chiropractic East Mat-Su LLCGroup PAC ID 5193001600, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arctic Chiropractic East Mat-Su LLC

  • Multi-Specialty Clinic/Center
  • Palmer, AK
  • NPI 1437489903

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coastal Orthopaedics & Spinal Surgery PA

  • Orthopaedic Surgery Physician
  • New Bern, NC
  • NPI 1114110509

  Physical Therapist

  Medicare reassignment NPD
• Arctic Medical Center Matsu

  • Medical Specialty Clinic/Center
  • Palmer, AK
  • NPI 1578178349
  NPD
• Coastal Orthopaedics and Spinal Surgery, PA

  • Orthopaedic Surgery Physician
  • New Bern, NC
  • NPI 1003174483

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1215487533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 PROSPECT DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 PROSPECT DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459655",
            "telephone_number": "252-635-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "AMY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16655",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "120733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Sue Black
• Brittany Alexandra Blake, DC
• Julee R Blankenship, PTA
• Edward Blocker, CARE COORDINATOR
• Olivia H Blood
• Blue Spruce Counseling Services (Blue Spruce Counseling)
• Body in Balance Physical Therapy Inc
• Olivia Bordenkircher, LMT
• Alyson Born
• Katie Bossart

• Physical Therapist in Palmer, AK
• Providers in Palmer, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.