Full Bloom

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FULL BLOOM

Doing business as

Full Bloom Women's Physio & Yoga

Practice address

301 Higgins Ave Ste 106
Knoxville, TN 37920-3006

Phone

(865) 268-9716

NPI assigned

Dec 13, 2021

Last updated

Feb 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janine Lorraine Bobby, PT, DPTNPI 1295303279

Title

Doctor of Physical Therapy, Owner

Phone

(865) 268-9716

Specialties & licenses 1

Addresses

Other names 1

• Full Bloom Women's Physio & Yoga Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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.

• Janine Lorraine Bobby, PT, DPT

  • Physical Therapist
  • Knoxville, TN
  • NPI 1295303279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1316606759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGGINS AVE STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203006",
            "telephone_number": "865-268-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGGINS AVE STE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203006",
            "telephone_number": "865-268-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "BOBBY",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY, OWNER",
        "authorized_official_telephone_number": "865-268-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Bloom Women's Physio & Yoga",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Full Bloom Women's Physio & Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kay Fuhr, PH.D.
• Samantha Fuhrmann
• Marteal Fulford
• Brogan Fulks, MD
• Daniel Stephen Fulks, MD
• Fuller Rehabilitation and Consulting Services Inc. (Fuller Rehabilitation)
• Anthony Blair Fuller, LPC, MHSP
• Jason Fuller, DPT
• Katherine L Fuller, AUD
• Lisa Ann Fuller, FNP-BC

• Physical Therapy Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.