Darren Joseph Bloebaum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 7502 Issued in FL

Practice address

3488 E Lake Rd
Suite 302
Palm Harbor, FL 34685-2404

Phone

(727) 771-7377

Fax

(717) 412-9851

NPI assigned

Aug 29, 2006

Last updated

Dec 9, 2014By the provider in NPPES

Sex

Male

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Sports and Orthopedic Rehabilitation Services, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1336539030
  Medicare reassignment NPD
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1245919059
  Medicare reassignment
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1467561175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 WESTSHORE DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523035",
            "telephone_number": "813-785-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 E LAKE RD",
            "address_2": "SUITE 302",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852404",
            "telephone_number": "727-771-7377",
            "fax_number": "717-412-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEBAUM",
        "first_name": "DARREN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Blair
• Susan D Blankenship, DMD INC
• Andrew Blasen
• Javier Angel Bleichner, MD
• Bliss Myofascial Release
• Bloomfield Manor, Inc
• Blueprint Family Health, LLC
• Josh Bly, D.C.
• Cindy E Boehm, LMT
• Andres Amilcar Bonelli, M.D.

• Physical Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.