Bloom Pediatric Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BLOOM PEDIATRIC THERAPY, PLLC

Practice address

220 N Prospect Manor Ave
Mount Prospect, IL 60056-2332

Phone

(512) 680-1925

Fax

(312) 284-8874

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Lindsay Aline Rumohr Stonecipher, MS, OTR/LNPI 1033351804

Title

Owner/Occupational Therapist

Phone

(512) 680-1925

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lindsay Aline Rumohr Stonecipher, MS, OTR/L

  • Pediatric Occupational Therapist
  • Mount Prospect, IL
  • NPI 1033351804

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1710569553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PROSPECT MANOR AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562332",
            "telephone_number": "512-680-1925",
            "fax_number": "312-284-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PROSPECT MANOR AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562332",
            "telephone_number": "512-680-1925",
            "fax_number": "312-284-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "STONECIPHER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "ALINE RUMOHR",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "512-680-1925",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.