Melissa Shea Bloom, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27092 Issued in MD

Practice address

515 Fairmount Ave Ste 530
Towson, MD 21286-5466

Phone

(410) 296-0680

NPI assigned

Apr 17, 2007

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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.

• Lifebridge Sports Medicine and Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Eldersburg, MD
  • NPI 1578055497
  Medicare reassignment NPD
• Lifebridge Sports Medicine & Rehabilitation, LLC

  dba Lifebridge Health Physical Therapy

  • Rehabilitation Clinic/Center
  • Towson, MD
  • NPI 1699006106
  NPD
• Lifebridge Sports Medicine and Rehabilitation LLC

  dba Novacare Rehabilitation

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1750966602
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1770709834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W 40TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 530",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-296-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MELISSA",
        "middle_name": "SHEA",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Christine Blasetto, PA-C
• Olivia Blazic, MA, CAS, NCSP
• Samuel Blechman, MT
• Katie C. Blenner, M.D.
• Latashia Blizzard
• BLS Diagnostics, LLC
• BLS Diagnostics, LLC
• BLS Diagnostics, LLC
• Tia Blue, LCSW-C
• Albert L Blumberg, MD

• Physical Therapist in Towson, MD
• Providers in Towson, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.