Blossom Kids Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BLOSSOM KIDS THERAPY

Practice address

2156 E 66TH St
Brooklyn, NY 11234-6324

Phone

(646) 494-1128

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer RyderNPI 1023370756

Title

Ao

Phone

(917) 615-4817

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jennifer Ryder

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1023370756
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1700573235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 METROPOLITAN AVENUE",
            "address_2": "SUITE 3- #1052",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 E 66TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346324",
            "telephone_number": "646-494-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "917-615-4817"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Voices Speech Pathology PC
• Ashley Paige Bloomquist
• Rochel C Bloomstone, LMSW
• Gray Charles Bloss, MSW
• Blossom Care LLC
• Kathryn Blouin, NP
• Ajinah Jacquiece Blount, LMSW
• Dahlia Susian Blount, OTR
• Johanne Blount, NP
• Kquian Blount, LPN

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.