Bloom Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM SPEECH THERAPY, PLLC

Practice address

3412 11TH St S
Arlington, VA 22204-2494

Phone

(631) 835-7401

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Sara Bohlen, M.S., CCC-SLPNPI 1497563522

Title

Speech Language Pathologist

Phone

(631) 835-7401

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Bohlen, SLP

  • Speech-Language Pathologist
  • Arlington, VA
  • NPI 1497563522
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1295540672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROBERTA LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253816",
            "telephone_number": "631-835-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 11TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042494",
            "telephone_number": "631-835-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BOHLEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "631-835-7401",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Angelica Blakely
• Norma Blann, RPH
• Chandreea K Blanton
• Natalie Block-Levin, LCSW
• Bloom Dental, PLLC
• Allyson Green Bloom, MD
• Amy Sue Bloom, M.D.
• Anne Welch Bloom, ARNP
• Danielle E Bloom, PT
• Jourdan Arielle Needle Bloom

• Speech-Language Pathologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.