Edward J Bloom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010015A Issued in IN

Practice address

6640 Parkdale PL Ste T
Indianapolis, IN 46254-5619

Phone

(317) 808-7070

Fax

(317) 808-7073

NPI assigned

Sep 6, 2011

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

81.73 of 100Reported as group

Quality

87.86

Improvement activities

40

Cost

61.36

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  NPD
• Advanced Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1700595089

  Physical Therapist

  NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Kokomo, IN
  • NPI 1790455046
  NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD
• Anderson Life Chiropractic P.C.

  • Chiropractor
  • Greenwood Village, CO
  • NPI 1619960853
  NPD (past)
• Cornerstone Orthopedics Surgery and Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Louisville, CO
  • NPI 1376577338
  NPD (past)
• Orthopedic Centers of Colorado, LLC

  dba Cornerstone Orthopedics Surgery and Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Superior, CO
  • NPI 1063927788

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1740561679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 PARKDALE PL STE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545619",
            "telephone_number": "317-808-7070",
            "fax_number": "317-808-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11414",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010015A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "11414",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jisette Blondet
• Bloom at Kessler, LLC
• Bloom at Willow, LLC
• Bloom Dental - Geist, LLC
• Bloom Dental-Fletcher Place, LLC
• Lisa F Bloom, NNP
• Ronald Bloom, MD
• Bloomed
• Ainsley Katherine Bloomer, MD
• Bloomfield Senior Living of Glen, LLC

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.