Active NPI
Victoria Bloomer, COTA
- Occupational Therapy Assistant
- Great Barrington, MA
National Provider Identifier
1841777885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4346
- Practice address
- 151 Christian Hill Rd
Great Barrington, MA 01230-1199 - Phone
- (413) 528-7121
- Fax
- (413) 528-2576
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1840 | CT | |
| Occupational Therapy Assistant | 224Z00000X | 4346 | MA | Primary |
Addresses
Primary practice location
151 Christian Hill Rd
Great Barrington, MA 01230-1199
Mailing address
151 Christian Hill Rd
Great Barrington, MA 01230-1199
Phone (413) 528-7121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4346 | MA | MD | Occupational Therapy Assistant |
| 1840 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1841777885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 CHRISTIAN HILL RD",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301199",
"telephone_number": "413-528-7121",
"fax_number": "413-528-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 CHRISTIAN HILL RD",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "012301199",
"telephone_number": "413-528-7121",
"fax_number": "413-528-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMER",
"first_name": "VICTORIA",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "1840",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MA",
"license": "4346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.