Active NPI
Douglas Vance Bloom
- Occupational Therapist
- Knoxville, TN
National Provider Identifier
1326129495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0000002922
- Practice address
- NHC Knoxville 809 Emerald Ave
Knoxville, TN 37917 - Phone
- (865) 524-7366
- Fax
- (865) 637-4402
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0000002922 | TN | Primary |
Addresses
Primary practice location
NHC Knoxville 809 Emerald Ave
Knoxville, TN 37917
Mailing address
703 Turtle Creek Drive
Knoxville, TN 37934
Phone (865) 777-1362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT0000002922 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326129495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 TURTLE CREEK DRIVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37934",
"telephone_number": "865-777-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NHC KNOXVILLE 809 EMERALD AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37917",
"telephone_number": "865-524-7366",
"fax_number": "865-637-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "DOUGLAS",
"middle_name": "VANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT0000002922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.