Organization Active NPI

Blooming Buds Therapy, LLC

  • Occupational Therapist
  • Portland, TX
National Provider Identifier
1497527410
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BLOOMING BUDS THERAPY, LLC
Practice address
1004 Starlite Dr
Portland, TX 78374-1929
Phone
(361) 603-6116
Fax
(361) 371-7553
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Authorized official

Name
Christine D. Hernandez, OTR
Title
Provider, Owner
Phone
(361) 603-6116

Specialties & licenses 1

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

Addresses

Primary practice location

1004 Starlite Dr
Portland, TX 78374-1929

Mailing address

1004 Starlite Dr
Portland, TX 78374-1929
Phone (361) 306-1167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741478400000",
    "number": "1497527410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 STARLITE DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741929",
            "telephone_number": "361-306-1167",
            "fax_number": "361-204-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 STARLITE DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741929",
            "telephone_number": "361-603-6116",
            "fax_number": "361-371-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING BUDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PROVIDER, OWNER",
        "authorized_official_telephone_number": "361-603-6116",
        "authorized_official_credential": "OTR"
    },
    "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 Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.