Active NPI
Steven Blom
- Physical Therapist
- Salem, SD
National Provider Identifier
1790211530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1975
- Practice address
- 511 S Nebraska St
Salem, SD 57058-8917 - Phone
- (605) 425-3303
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 1975 | SD | Primary |
Addresses
Primary practice location
511 S Nebraska St
Salem, SD 57058-8917
Mailing address
1125 S Ebenezer Ave
Apt 132
Sioux Falls, SD 57106-5761
Phone (605) 682-9999
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Past | Accepting new patients | |
| McCook Therapy & Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Hospital Unit
- Salem, SD
- NPI 1669915468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1790211530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 S EBENEZER AVE",
"address_2": "APT 132",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571065761",
"telephone_number": "605-682-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 S NEBRASKA ST",
"city": "SALEM",
"state": "SD",
"postal_code": "570588917",
"telephone_number": "605-425-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOM",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, SD
- Emily Judith Anderson, OTD, OTR
- Avera McKennan (Avera Medical Group McGreevy Salem)
- Avera Queen of Peace (Avera Medical Group Salem)
- Avera Queen of Peace (Avera Medical Group Salem)
- John Barnett, PA-C
- John Rollin Bosch, D.C.
- Rachel Reka Brady
- Cheeseman Chiropractic PC (Salem Chiropractic Clinic)
- Debra M Cheeseman, D.C.
- Aleesha Marie Deknikker, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.