Janae Bloom, PTA
Individual provider Active NPI Physical Therapy Assistant · Oakley, KS
NPI 1356741557 · NPPES record last updated Aug 26, 2014
Key facts
- NPI
- 1356741557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1402774 (KS)
- Practice address
- 801 Ivory St
Oakley, KS 67748-2107 - Phone
- (785) 672-0935
- NPI assigned
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402774 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1402774 | KS | Yes |
Addresses
Primary practice location
801 Ivory St
Oakley, KS 67748-2107
Mailing address
801 Ivory St
Oakley, KS 67748-2107
Phone (785) 672-0935
Other providers in Oakley, KS
- Terri Albers
- Megan Baalman
- Jessica Renee Catlin
- Central Care, PA
- County of Logan
- County of Logan
- County of Logan
All providers in Oakley, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.