Organization Active NPI

In Bloom Pediatric Therapy

  • Rehabilitation Clinic/Center
  • Hillsdale, NJ
National Provider Identifier
1598682791
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
IN BLOOM PEDIATRIC THERAPY
Practice address
15 Large Ave
Hillsdale, NJ 07642-1931
Phone
(551) 497-1769
NPI assigned
Jun 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Amanda Oneill, MOT, OTR/L
Title
Owner
Phone
(551) 497-1769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

15 Large Ave
Hillsdale, NJ 07642-1931

Mailing address

15 Large Ave
Hillsdale, NJ 07642-1931
Phone (551) 497-1769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1598682791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LARGE AVE",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421931",
            "telephone_number": "551-497-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LARGE AVE",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421931",
            "telephone_number": "551-497-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BLOOM PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-497-1769",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.