Active NPI
Bryce Lindbloom, PT, DPT
- Physical Therapist
- Spring, TX
National Provider Identifier
1548003122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1392174
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1392174 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salto Angel LLC | Physical Therapist | Current | 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.