Individual provider Active NPI

Bryce Lindbloom, PT, DPT

  • Physical Therapist
  • Spring, TX
National Provider Identifier
1548003122
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1392174 Issued in TX
Practice address
6620 Cypresswood Dr Ste 180
Spring, TX 77379-0018
Phone
(346) 340-7772
NPI assigned
Jun 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1392174 TX Primary

Addresses

Primary practice location

6620 Cypresswood Dr Ste 180
Spring, TX 77379-0018

Mailing address

180 W Gray St Apt 1221
Houston, TX 77019-5582
Phone (406) 350-9068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626000642 TX Practitioner - Physical Therapist in Private Practice 3173067618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1392174TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salto Angel LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients

Locations

6620 Cypresswood Dr
Ste 180
Spring, TX 77379
Phone (346) 340-7772

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1548003122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W GRAY ST APT 1221",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195582",
            "telephone_number": "406-350-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CYPRESSWOOD DR STE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773790018",
            "telephone_number": "346-340-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLOOM",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1392174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.