Organization Active NPI

Bloom Women'S Physical Therapy, Inc.

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1609234491
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42109 Issued in CA
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

Updated by the provider on Feb 8, 2016

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.NPI 1215326053
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.