Kristy Bloom, PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1157647 Issued in TX

Practice address

2655 Villa Creek Dr Ste 140
Dallas, TX 75234-7385

Phone

(972) 800-9626

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1255952115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HIDDEN CREEK LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750364642",
            "telephone_number": "972-800-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 VILLA CREEK DR STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347385",
            "telephone_number": "972-800-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KRISTY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1157647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Blonsky
• Blood and Marrow Transplant Services
• Bloom Integrative Wellness Center of South Lake, LLC
• Bloom Speech and Language Therapy
• Christopher A. Bloom, MD
• Staci Bloom, PH.D.
• Steven L Bloom, MD
• Kerry Bradford Bloomer, OTR
• Corben P Bloomfield, LPC
• Gary M Bloomgarden, MD

• Neurology Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.