Organization Active NPI

Bloom Speech Therapy Inc.

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1700414588
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOOM SPEECH THERAPY INC.
Practice address
5900 Balcones Dr Ste 14591
Austin, TX 78731-4257
Phone
(210) 204-6107
NPI assigned
Mar 29, 2020
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Morgan McWatersNPI 1780165019
Title
President
Phone
(210) 204-6107

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 14591
Austin, TX 78731-4257

Mailing address

5900 Balcones Dr Ste 14591
Austin, TX 78731-4257
Phone (210) 204-6107

National Provider Directory

National Provider Directory

Locations

5900 Balcones Dr
Ste 14591
Austin, TX 78731
Phone (210) 204-6107

5900 Balcones Dr
Ste 6645
Austin, TX 78731

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1700414588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 14591",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "210-204-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 14591",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "210-204-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SPEECH THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "MCWATERS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-204-6107"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.