Bloom OT and Wellness, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BLOOM OT AND WELLNESS, LLC

Practice address

607 Tall Pines LN
Horsham, PA 19044-1802

Phone

(215) 971-5697

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan Doberstein, MS,OTR/LNPI 1316495153

Title

Owner, Occupational Therapist

Phone

(215) 971-5697

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joan Doberstein, M.S., OTR/L

  • Occupational Therapist
  • Horsham, PA
  • NPI 1316495153
  NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1619653805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TALL PINES LN",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TALL PINES LN",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441802",
            "telephone_number": "215-971-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM OT AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "DOBERSTEIN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "215-971-5697",
        "authorized_official_credential": "MS,OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Cameron Bitar, RPH
• Mark Brian Bixby, CRNP
• Jaynie Patricia Black, OTR/L
• Amy Susan Blake, FNP-BC
• Charles Alan Block, M.D.
• Chelsea Bohenick, CRNP
• Latoya Bonk, CRNP
• Richard P Borge, M.D.
• Victoria Borger, CRNP
• Theresa Bownes, NP

• Occupational Therapist in Horsham, PA
• Providers in Horsham, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.