Kim Bloms, DPT
Individual provider Active NPI Pediatric Physical Therapist · Mandan, ND
NPI 1871853010 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1871853010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 1627 (ND)
- Practice address
- 1702 E Main St # 103
Mandan, ND 58554-3818 - Phone
- (701) 415-0000
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Every Eye | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1627 | ND | Yes |
Addresses
Primary practice location
1702 E Main St # 103
Mandan, ND 58554-3818
Mailing address
4335 Fort Lincoln Rd
Mandan, ND 58554-7930
Phone (701) 471-6122
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@mandankids.com | Direct |
Other providers in Mandan, ND
- Carole Bingeman
- Bis-Man Eyecare PLLC
- Ana Bischke
- Chelsea Bittner
- Patricia Blake
- Colleen Boehm
- Michelle Bohn
- Tracie Lajuan Bollinger
- Donna Bolme
- Trevor M Bolme
All providers in Mandan, ND · Pediatric Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.