Individual provider Active NPI

Joseph Ellis Bloomfield, DPT

  • Physical Therapist
  • Tecumseh, KS
National Provider Identifier
1306387089
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04732 Issued in KS
Practice address
4310 SE Heathcliff Dr
Tecumseh, KS 66542-9736
Phone
(785) 313-0803
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04732 KS Primary

Addresses

Primary practice location

4310 SE Heathcliff Dr
Tecumseh, KS 66542-9736

Mailing address

4310 SE Heathcliff Dr
Tecumseh, KS 66542-9736
Phone (785) 313-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190820003653 KS Practitioner - Physical Therapist in Private Practice 3971831561 Reassigns benefits to 4 organizations
I20200903000936 MO Practitioner - Physical Therapist in Private Practice 3971831561 Reassigns benefits to 1 organization
I20210802001566 OH Practitioner - Physical Therapist in Private Practice 3971831561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bloomfield Physical TherapyGroup PAC ID 2264763598, 11 clinicians
Creative Health Care Management LLCGroup PAC ID 4385929892, 87 clinicians
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, 207 clinicians
Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, 152 clinicians

Practice addresses (Care Compare)

Delaware, OH 43015
Phone (785) 367-2353

2300 N 113TH Ter
Vertis Therapy Piper
Kansas City, KS 66109-3786
Phone (913) 400-7006

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745

4310 SE Healthcliff Dr
Tecumseh, KS 66542-9736
Phone (785) 313-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04732KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Physical Therapy Physical Therapist CurrentSince Jul 18, 2019 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Jul 30, 2024 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Jul 30, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jul 30, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jul 30, 2024 Accepting new patients

Locations

10 S 9th St
Ste 4
Noblesville, IN 46060

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1306387089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 SE HEATHCLIFF DR",
            "city": "TECUMSEH",
            "state": "KS",
            "postal_code": "665429736",
            "telephone_number": "785-313-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 SE HEATHCLIFF DR",
            "city": "TECUMSEH",
            "state": "KS",
            "postal_code": "665429736",
            "telephone_number": "785-313-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "JOSEPH",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.