Nicole Marie Bloom, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

211313 Issued in TX

Practice address

25018 Oakhurst Dr
Spring, TX 77386-2722

Phone

(281) 364-9695

Fax

(888) 294-6679

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ortho-Tek Inc

  dba Acelleron

  • Durable Medical Equipment & Medical Supplies
  • Nacogdoches, TX
  • NPI 1205898541
  NPD
• Ortho-Tek Inc

  dba Care Options for Kids

  • Durable Medical Equipment & Medical Supplies
  • Nacogdoches, TX
  • NPI 1942687371
  NPD
• Pathfinder Pediatrics Home Care, LLC

  dba Care Options for Kids

  • Home Health Agency
  • Katy, TX
  • NPI 1134371651
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1245734045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25018 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862722",
            "telephone_number": "281-364-9695",
            "fax_number": "888-294-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25018 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862722",
            "telephone_number": "281-364-9695",
            "fax_number": "888-294-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau Blankenship, D.D.S.
• D'Ondre Blanks
• Ana Blas Fernandez
• Katie Blood, CCC-SLP
• Bloom Nutrition Counseling and Consulting
• Blossom Tree Counseling
• Sara Blount
• Blue Care Medical LLC (Blue Care Medical Supplies)
• Bluebonnet Lifecare, LLC
• Bluebonnet Senior Care

• Occupational Therapy Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.