Active NPI
Melissa Bloom, DPT
- Physical Therapist
- Lakewood, CO
National Provider Identifier
1760834907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0011424
- Practice address
- 3333 S Wadsworth Blvd
321
Lakewood, CO 80227-5122 - Phone
- (303) 985-4215
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0011424 | CO | Primary |
Addresses
Primary practice location
3333 S Wadsworth Blvd
321
Lakewood, CO 80227-5122
Mailing address
12072 W Dumbarton Dr
Morrison, CO 80465-2005
Phone (219) 680-9441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0011424 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1760834907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12072 W DUMBARTON DR",
"city": "MORRISON",
"state": "CO",
"postal_code": "804652005",
"telephone_number": "219-680-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 S WADSWORTH BLVD",
"address_2": "321",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275122",
"telephone_number": "303-985-4215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "MELISSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0011424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
- Miranda Kay Blincoe, R.N
- Heidemarie Bliss, RN
- Lauren Robin Bliss, PA-C
- Bloom Hospice LLC (Bloom Hospice)
- Bloom Sleep and Airway Health, PLLC
- Blossom and Grow Speech and Language Therapy LLC
- Jacob R Blount, MD
- Blue Bridge Medical Supplies LLC
- Blue Moon Enterprises LLC
- Blue Sky Pain Treatment Center PC (Blue Sky Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.