Blossom Therapy Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOSSOM THERAPY SERVICES

Practice address

7512 Bounty Ave
North Bay Village, FL 33141-4110

Phone

(787) 408-2448

Fax

(786) 536-7045

NPI assigned

Nov 9, 2024

Organization subpart

No

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

Authorized official

Name

Patricia Pilar Diaz-Portela

Title

President

Phone

(787) 408-2448

Specialties & licenses 2

Addresses

Other names 1

• PATRICIA PILAR DIAZ-PORTELA Other name

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1750105565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 BOUNTY AVE",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414110",
            "telephone_number": "787-408-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 BOUNTY AVE",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414110",
            "telephone_number": "787-408-2448",
            "fax_number": "786-536-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ-PORTELA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "PILAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-408-2448"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATRICIA PILAR DIAZ-PORTELA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PATRICIA PILAR DIAZ-PORTELA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in North Bay Village, FL
• Providers in North Bay Village, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.