Catherine Ann Bloome, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1006341 Issued in OR

Practice address

1404 NE 58TH Ave
Portland, OR 97213-3630

Phone

(503) 913-5273

Fax

(503) 914-0468

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1891962742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 NE 58TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133630",
            "telephone_number": "503-913-5273",
            "fax_number": "503-914-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NE 58TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133630",
            "telephone_number": "503-913-5273",
            "fax_number": "503-914-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOME",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002851",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1006341",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "WA",
            "license": "OT00002851",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "OR",
            "license": "1006341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500629360",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph David Bloom, M.D.
• Julie Bloom
• Linnaeus Bloom
• Maggie Bloom, PH.D.
• Hannah Lynn Bloombaum
• Blooming Moon Wellness Spa Inc.
• Catherine Gail Blosser, PNP
• Blossom Counseling LLC
• Blossom in Unity, LLC (Lucrecia Suarez, LCSW)
• Catherine Blouke, CADC-R

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.