Full Bloom Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

FULL BLOOM PEDIATRIC THERAPY, LLC

Practice address

9660 Bartlett Cir Ste 716
Ft Worth, TX 76108-4465

Phone

(817) 929-5655

Fax

(817) 887-5608

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Ashley B Harrell, OTD, OTR, IMH-ENPI 1922131572

Title

Occupational Therapist Owner

Phone

(817) 929-5655

Specialties & licenses 1

Addresses

Other names 1

• Ashley B. Harrell, OTR/L Private Practice Doing business as

Locations

Practitioners 1

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

• Ashley B Harrell, O.T.

  • Pediatric Occupational Therapist
  • Fort Worth, TX
  • NPI 1922131572

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1508686973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 716",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761084465",
            "telephone_number": "817-929-5655",
            "fax_number": "817-887-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 716",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761084465",
            "telephone_number": "817-929-5655",
            "fax_number": "817-887-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST OWNER",
        "authorized_official_telephone_number": "817-929-5655",
        "authorized_official_credential": "OTD, OTR, IMH-E"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley B. Harrell, OTR/L Private Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Ovie Fueta, MD
• Theresa Ann Fugate, RN, BSN,SANE-P
• Rita Starr Fulcher, SLP
• Elbert Fulgram Jr.
• Richard C Fulkerson, MD
• Alisha Marie Fuller, LVN
• Cheryl Fuller, PHD
• Colin Wyatt Fuller, M.D.
• Dale Fuller, FNP
• Danlin Jenny Fuller, MD

• Pediatric Occupational Therapist in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.