Shana Bloomstein, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PA3453 Issued in ME

Practice address

118 Northport Ave
Belfast, ME 04915-6009

Phone

(207) 505-4268

NPI assigned

Jul 21, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1770748642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156072",
            "telephone_number": "207-505-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156009",
            "telephone_number": "207-505-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMSTEIN",
        "first_name": "SHANA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PA3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Bernosky
• Karen Lynn Betts, OTR/L
• Jennifer Marie Blake
• Patricia Ann Blake, PTA
• Morgan Block
• Sunny Rae Bolduc, OT/L, CLT
• Benjamin Borkan, LCSW
• Mauricio Botero-Velez, M.D.
• Denise M Bouchard, DNPC
• Diantha Sarah Bovey, LCSW

• Physical Therapist in Belfast, ME
• Providers in Belfast, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.