Bloom Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLOOM PHYSICAL THERAPY LLC

Practice address

1 Kennedy Dr # U3-4
South Burlington, VT 05403-7152

Phone

(802) 863-3323

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Karen Elizabeth Bumpus, DPT

Title

Owner

Phone

(508) 345-6319

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Sullivan, DPT

  • Physical Therapist
  • South Burlington, VT
  • NPI 1124572482
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1427627165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR # U3-4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037152",
            "telephone_number": "508-345-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR # U3-4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037152",
            "telephone_number": "802-863-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BUMPUS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-345-6319",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Karl Bjella
• Gerhild R Bjornson, M.D.
• Bla Partners, LLC
• Michael Blankstein, MD, FRCSC
• Jeffrey Joseph Blasius, DMD MDS MPH
• Jonathan A Bloom, D.D.S.
• Victor Boardman
• Body Resolution LLC
• Paul Gregory Boerman, DDS
• Brittany Bogan, DOCTOR OF PHARMACY

• Physical Therapy Clinic/Center in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Physical Therapy Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.