Organization Active NPI

Bloom & Associates Therapy P a

  • Physical Therapy Clinic/Center
  • Topeka, KS
National Provider Identifier
1306836879
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BLOOM & ASSOCIATES THERAPY P A
Practice address
4035 SW 10TH Ave
Topeka, KS 66604-1916
Phone
(785) 273-7700
Fax
(785) 273-7551
NPI assigned
Oct 26, 2005
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Carolyn L Bloom, P.T.NPI 1104816644
Title
Owner Physical Therapist
Phone
(785) 273-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X KS Primary

Addresses

Primary practice location

4035 SW 10TH Ave
Topeka, KS 66604-1916

Mailing address

4035 SW 10TH Ave
Topeka, KS 66604-1916
Phone (785) 273-7700

Other identifiers 2

IdentifierTypeStateIssuer
014722OtherKSBCBS PROVIDER NUMBER
100331910AMedicaidKS

National Provider Directory

National Provider Directory

Locations

1045 SW Gage Blvd
Topeka, KS 66604
Phone (785) 273-7700

4035 SW 10th Ave
Topeka, KS 66604
Phone (785) 273-7700

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1306836879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041916",
            "telephone_number": "785-273-7700",
            "fax_number": "785-273-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041916",
            "telephone_number": "785-273-7700",
            "fax_number": "785-273-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & ASSOCIATES THERAPY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "785-273-7700",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "014722",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100331910A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.