Melissa Sue Bloomer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204458 Issued in VA

Practice address

3022 Magnolia BND
Charlottesville, VA 22911-8295

Phone

(434) 989-5520

NPI assigned

Aug 1, 2006

Last updated

Jan 5, 2024By the provider in NPPES

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

Other names 1

• Melissa Sue Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Phoenix Rehabilitation and Health Services of Virginia, LLC

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1336155845
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1578570669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 MAGNOLIA BND",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118295",
            "telephone_number": "434-989-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 MAGNOLIA BND",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118295",
            "telephone_number": "434-989-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WILLIAMS",
            "middle_name": "SUE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia A Blodgett, PH.D.
• Garrett Blom, PA
• Julie L Blommel, MD
• Katelyn Blondino, MS, LCGC
• Bloom Care Group LLC (Bloom Care Group)
• Karen Shatkin Bloomfield, M.S., R.N., C.N.S.
• Peter Blosser, MD
• Lauren Faith Bloxsome, RD
• Blue Ridge Allergy & Asthma, Inc
• Blue Ridge Chiropractic and Massage Therapy Center

• Physical Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.