Active NPI
Danielle Renee Bloomer, L.M.T.
- Massage Therapist
- Sodus, NY
National Provider Identifier
1356592091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 020855-1
- Practice address
- 6884 Maple Ave.
Sodus, NY 14551 - Phone
- (315) 483-9118
- Fax
- (315) 483-9432
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 020855-1 | NY | Primary |
Addresses
Primary practice location
6884 Maple Ave.
Sodus, NY 14551
Mailing address
57 Catherine St.
Lyons, NY 14489
Phone (315) 573-6194
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 |
|---|---|---|---|
| 020855-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1356592091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 CATHERINE ST.",
"city": "LYONS",
"state": "NY",
"postal_code": "14489",
"telephone_number": "315-573-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6884 MAPLE AVE.",
"city": "SODUS",
"state": "NY",
"postal_code": "14551",
"telephone_number": "315-483-9118",
"fax_number": "315-483-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMER",
"first_name": "DANIELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "020855-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sodus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.