Jordan Blohm

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

Practice address

175 Sherman Ave
New Haven, CT 06511-4357

Phone

(203) 789-3271

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1679256929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BEARD SAWMILL RD APT 304B",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SHERMAN AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114357",
            "telephone_number": "203-789-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOHM",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Louise Bliss, PA-C
• Mark L Blitzer, M.D.
• Nicolas Blobel, MD, PHD
• Michael Hugh Bloch, MD
• Peter Block, MD
• Alexa Blood, APRN
• Justin Andrew Blood, APRN
• Debra Kay Bloom, LCSW
• Amber Blue, M.D.
• Bluebird, LLC (Griswold Home Care)

• Neurorehabilitation Occupational Therapist in New Haven, CT
• Providers in New Haven, CT by specialty
• Neurorehabilitation Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.