Jason Scott Bloom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27625 Issued in FL

Practice address

8720 N Kendall Dr
Suite 206
Miami, FL 33176-2299

Phone

(305) 595-9425

NPI assigned

Aug 7, 2012

Last updated

Aug 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: jason.bloom.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD
• Synergy Integrated Healthcare Inc

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1184090938

  Physical Therapist

  Medicare reassignment NPD
• Bloom Therapeutics LLC

  • Physical Therapist
  • Estero, FL
  • NPI 1952163701
  NPD Authorized official
• Synergy Chiropractic and Health Center PA

  • Chiropractor
  • Naples, FL
  • NPI 1396002952
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1851648083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762299",
            "telephone_number": "305-595-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762299",
            "telephone_number": "305-595-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887989300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom Blue Medical Clinic LLC
• Bloom With Therapy Services Inc
• Audrey Bloom, LCSW
• Barbara Lieberman Bloom, PH.D.
• Christopher Bloom, NURSE
• Laura Cohen Bloom, MHS, OTR/L
• Marc Bloom, M.D.
• Maya Chelsea Smith Bloomberg, ARNP
• Blooming Brighter Futures LLC
• Blooming Buds Therapy Services, Inc.

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.