Cactus Bloom Therapeutics, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CACTUS BLOOM THERAPEUTICS, LLC

Practice address

1203 Colorado Ave
Grand Junction, CO 81501-4630

Phone

(970) 609-9771

NPI assigned

Nov 29, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Marchese, DPT, LMTNPI 1174760318

Title

Owner

Phone

(970) 609-9771

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Andrea Marchese, PT, DPT

  • Physical Therapist
  • Grand Junction, CO
  • NPI 1174760318
  NPD Authorized official

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1811713316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 COLORADO AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014630",
            "telephone_number": "970-609-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 COLORADO AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014630",
            "telephone_number": "970-609-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS BLOOM THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-609-9771",
        "authorized_official_credential": "DPT, LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bykota Weslo
• Gaither D. Bynum, M.D.
• Karee Byram, MD
• Byron C Corbett, DDS, PC
• C.W. Derm, LLC
• Keri D Cadwell, RN
• Lisa Cahill
• Glenda M Cain, RN,FNP
• Alexis Marie Calabrese
• Roxanne L. Calderone

• Physical Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.