Kaitlin D Bloom

Primary specialty

SpecialistTaxonomy code 174400000X

License

BH005060 Issued in PA

Practice address

121 Progress Ave
Pottsville, PA 17901-2968

Phone

(570) 234-3989

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1588563241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 ARLINGTON ST",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182522104",
            "telephone_number": "570-710-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROGRESS AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012968",
            "telephone_number": "570-234-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KAITLIN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "BH005060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Pennsylvania, Inc. (Bma Pottsville)
• Mandy Lynn Bixler, PT DPT
• Mark Andrew Bixler, MSPT
• Teresa Ann Blatt, RN
• Aaron Ray Blehm, OD
• Blue Mountain Home Health Care, Inc
• Haywood Blum, M.D., PH.D.
• Boas Surgical Inc.
• Daniel Bobrowski, MD
• Karen B Bohenek, PA

• Specialist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.