Bloom Pediatric Therapy Services Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1436 Issued in AR

Legal business name

BLOOM PEDIATRIC THERAPY SERVICES INC

Practice address

1007 Windover Rd Ste a
Jonesboro, AR 72401-6009

Phone

(870) 520-0646

Fax

(870) 520-5034

NPI assigned

Mar 19, 2007

Last updated

Mar 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jocelyn JohnsonNPI 1093873531

Title

President

Phone

(870) 919-3141

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jocelyn Johnson, OTRL

  • Occupational Therapist
  • Bono, AR
  • NPI 1093873531
  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1871618173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WINDOVER RD STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016009",
            "telephone_number": "870-520-0646",
            "fax_number": "870-520-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 WINDOVER RD STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016009",
            "telephone_number": "870-520-0646",
            "fax_number": "870-520-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-919-3141"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1436",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163120742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blessed Hearts Home Health LLC
• Claudia Blevins, LPN
• Victor Blevins
• Shanika Blocker
• Bloom of Jonesboro, LLC
• Bloom Therapy
• Rodney T Blumingburg
• Paul S Blumreich, CRNA
• Nathan Boak
• Alexis Boatman

• Occupational Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.