Stephanie R Bloom, OTR CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT598/9105000125 Issued in CA

Practice address

9404 Genesee Ave
Ste 310
La Jolla, CA 92037

Phone

(858) 455-1195

Fax

(858) 455-7101

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Dieguito Orthopedic Medical Center P CGroup PAC ID 0143201442, 15 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 and National Provider Directory roles.

• San Dieguito Orthopedic Medical Center P C

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1356433965
  Medicare reassignment Care Compare group
• Scripps Health

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  NPD
• Hoeck Physical Therapy, Inc

  • Physical Therapist
  • La Jolla, CA
  • NPI 1134169600
  NPD (past)
• Levas Physical & Occupational Therapy

  • Occupational Therapist
  • Lajolla, CA
  • NPI 1285695130
  NPD (past)
• Stanford Hospital and Clinics

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1225099047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE",
            "address_2": "STE 310",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-455-1195",
            "fax_number": "858-455-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 GENESEE AVE",
            "address_2": "STE 310",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-455-1195",
            "fax_number": "858-455-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT598/9105000125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Bliamptis, MD
• Garry J Bloch, DMD
• Miriam Bloch, M.D.
• Michael A. Block, M.D.
• Sandra Block, PH.D.
• Cinnamon Sue Bloss, PH.D.
• Kenneth John Blunt, M.D.
• Teodora Nikolaeva Bochnakova, M.D.
• Sara Bockhold, PA
• Hannah Bodeau

• Occupational Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.