Bloom Physical Therapy & Wellness PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLOOM PHYSICAL THERAPY & WELLNESS PLLC

Practice address

138 TX-46
Boerne, TX 78006

Phone

(512) 468-4454

Fax

(210) 519-4053

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Runion, PT, LMT, CLTNPI 1336532506

Title

Physical/Massage Therapist

Phone

(512) 468-4454

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.

• Shannon Runion

  • Physical Therapist
  • Boerne, TX
  • NPI 1336532506
  NPD Authorized official

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1730784281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 TX-46",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "512-468-4454",
            "fax_number": "210-519-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 TX-46",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "512-468-4454",
            "fax_number": "210-519-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PHYSICAL THERAPY & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-04-30",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "RUNION",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PHYSICAL/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "512-468-4454",
        "authorized_official_credential": "PT, LMT, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.