Jamie Bloom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23168 Issued in MA

Practice address

249 Lexington St
Waltham, MA 02452-4621

Phone

(617) 730-5337

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518482025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BRIGHTON AVE APT 6",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342336",
            "telephone_number": "661-212-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524621",
            "telephone_number": "617-730-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Great Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017302710",
            "country_code": "US",
            "telephone_number": "617-730-5337 x292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JAMIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Black-Foley
• Andrew T Blair, M.D.
• Rebecca Eve O'Donnell Blake, PA-C
• Bliss Healthcare, LLC
• Bloom International Doula LLC
• Ashley Elizabeth Blum, BA
• Elizabeth Susan Blumberg, PSY.D.
• Chanel Blunt
• Semen Bobrovskii, HIS
• Naomi Bocarsly, LICSW

• Physical Therapist in Waltham, MA
• Providers in Waltham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.