Bloom Pediatric Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOM PEDIATRIC THERAPY LLC

Practice address

14557 Highway 19 Ste C
Griffin, GA 30224-9582

Phone

(678) 967-1924

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Hurd, MSOT, OTR/LNPI 1174167068

Title

President

Phone

(678) 967-1924

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• Kelli Michele Hurd

  • Occupational Therapist
  • Zebulon, GA
  • NPI 1174167068
  NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1619674124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAIN ST",
            "city": "MILNER",
            "state": "GA",
            "postal_code": "302573844",
            "telephone_number": "678-967-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 HIGHWAY 19 STE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302249582",
            "telephone_number": "678-967-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-967-1924",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Bland, FNP-C
• Nicholas Oscar Bland, PHARM.D.
• Melissa Blanton
• Blessed Journey Healthcare, L.L.C.
• Patricia Elaine Blevins, CCC-SLP
• Catherine Ann Blow, NP-C
• Naga Naveen Bobbala, MD
• Julie Wunderlin Boggs
• Gerald Bohn, M.D.
• Lynda Brooks Bolton, PH.D.

• Behavior Analyst in Griffin, GA
• Providers in Griffin, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.