Full Bloom Physical Therapy & Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FULL BLOOM PHYSICAL THERAPY & WELLNESS LLC

Practice address

2285 Demington Dr
Cleveland Heights, OH 44106-3354

Phone

(216) 970-5459

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Katherine Shoger, PTNPI 1407232077

Title

Owner, Physical Therapist

Phone

(216) 970-5459

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.

• Katherine Winters Shoger, PT, DPT

  • Physical Therapist
  • Beachwood, OH
  • NPI 1407232077
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1326825746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 DEMINGTON DR",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 DEMINGTON DR",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063354",
            "telephone_number": "216-970-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "SHOGER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "216-970-5459",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadiyah Freeman, MS, OTR/L
• Deborah Rachel Friedman, MSW
• Joe Fry
• Jennifer Lee Frymier
• Angela Fuentes, OTR/L
• Spencer Edward Furlich, MS, AT, ATC, NREMT
• Sacha Furre, LPN
• Future Leaders Youth Behavioral Coaching & Mentorship Program
• Gabriela Leskur Counseling & Consulting LLC
• Quinnlon Homer Gaddis Sr., RN

• Physical Therapy Clinic/Center in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.