Organization Active NPI

Full Bloom Occupational Therapy LLC

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1508774340
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FULL BLOOM OCCUPATIONAL THERAPY LLC
Practice address
2560 Upham St
Madison, WI 53704-4971
Phone
(847) 224-2052
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Lia Stratton, MS, OTR/L
Title
Sole Member/Owner
Phone
(847) 224-2052

Specialties & licenses 1

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

Addresses

Primary practice location

2560 Upham St
Madison, WI 53704-4971

Mailing address

2560 Upham St
Madison, WI 53704-4971
Phone (847) 224-2052

Other names 1

  • Full Bloom OT Other name

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1508774340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 UPHAM ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044971",
            "telephone_number": "847-224-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 UPHAM ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044971",
            "telephone_number": "847-224-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "847-224-2052",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Bloom OT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.