Active NPI
Bloom Women'S Physical Therapy, Inc.
- Physical Therapist
- West Hollywood, CA
National Provider Identifier
1609234491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42109
- Legal business name
- BLOOM WOMEN'S PHYSICAL THERAPY, INC.
- Practice address
- 730 Willey LN
West Hollywood, CA 90069-5518 - Phone
- (424) 253-8509
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grace Abruzzo, D.P.T.
- Title
- Founder/Director/Physical Therapist
- Phone
- (424) 253-8509
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42109 | CA | Primary |
Addresses
Primary practice location
730 Willey LN
West Hollywood, CA 90069-5518
Mailing address
730 Willey LN
West Hollywood, CA 90069-5518
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sherman Oaks, CA
- NPI 1215326053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1609234491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 WILLEY LN",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 WILLEY LN",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900695518",
"telephone_number": "424-253-8509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOM WOMEN'S PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "ABRUZZO",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "FOUNDER/DIRECTOR/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "424-253-8509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "42109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.