Zoe Blomquist

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5414 N Broadway St
Chicago, IL 60640-1704

Phone

(773) 907-3599

NPI assigned

May 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andersonville Physical Therapy, SCGroup PAC ID 9133170731, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andersonville Physical Therapy, SC

  • Physical Therapist
  • Chicago, IL
  • NPI 1043368731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1437907623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N DEARBORN ST APT 709",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105025",
            "telephone_number": "224-622-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401704",
            "telephone_number": "773-907-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMQUIST",
        "first_name": "ZOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Blome, MOT, OTR/L
• Colleen Krombach Blomgren, MPT
• Emily Blomquist
• Hayley Blomquist
• Madeline Margaret Blomquist
• Dorothy Katherine Bloniarz, M.D.
• Bloom Behavior PLLC
• Bloom Dental Practice PLLC
• Bloom Family Services
• Bloom Plastic Surgery SC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.