Bloom Pediatric Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLOOM PEDIATRIC THERAPY LLC

Practice address

1600 N Kolb Rd Ste 212
Tucson, AZ 85715-4934

Phone

(520) 633-2687

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Nathalie Brus, PT, DPTNPI 1073353090

Title

Owner

Phone

(520) 633-2687

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathalie Brus, DPT

  • Pediatric Physical Therapist
  • Tucson, AZ
  • NPI 1073353090
  NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1801632500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N KOLB RD STE 212",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N KOLB RD STE 212",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154934",
            "telephone_number": "520-633-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "BRUS",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-633-2687",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Block, BS-HIS
• Mariah Blodgett, PMHNP
• Rubye Lee Bloeser, MA, CCC-SLP
• Kathryn Blohm
• Barry David Blonder, O.D.
• Carena Bloom
• John Bloom, MD
• Kristen Bloom, CPHT
• Tina Marie Bloomfield
• Blooming Hearts,LLC

• Physical Therapy Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.