Organization Active NPI

Bloom Pelvic Therapy LLC

  • Occupational Therapist
  • Lutz, FL
National Provider Identifier
1487225272
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BLOOM PELVIC THERAPY LLC
Practice address
18727 Birchwood Groves Dr
Lutz, FL 33558-8332
Phone
(813) 719-0779
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Dr. Brittaney Leigh Sargent, OTD, OTR/L, BCB-PMDNPI 1912427329
Title
Owner & Pelvic Floor Therapist
Phone
(813) 719-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

18727 Birchwood Groves Dr
Lutz, FL 33558-8332

Mailing address

18727 Birchwood Groves Dr
Lutz, FL 33558-8332
Phone (813) 719-0779

National Provider Directory

National Provider Directory

Locations

16540 Pointe Village Dr
Ste 209
Lutz, FL 33558
Phone (813) 515-9008

1211 N West Shore Blvd
Ste 414
Tampa, FL 33607
Phone (813) 515-9008

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1487225272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18727 BIRCHWOOD GROVES DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588332",
            "telephone_number": "813-719-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18727 BIRCHWOOD GROVES DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588332",
            "telephone_number": "813-719-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PELVIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "BRITTANEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER & PELVIC FLOOR THERAPIST",
        "authorized_official_telephone_number": "813-719-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L, BCB-PMD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.