Bloom Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLOOM PHYSICAL THERAPY

Practice address

365 Washington St SE
Salem, OR 97302-4355

Phone

(503) 208-4089

Fax

(503) 967-7604

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Marshall, DPTNPI 1861686040

Title

Owner/Member

Phone

(503) 930-5025

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Marshall, DPT

  • Physical Therapist
  • Salem, OR
  • NPI 1861686040
  NPD Authorized official
• Courtney Faith Hoffman, DPT

  • Physical Therapist
  • Salem, OR
  • NPI 1316705791
  NPD
• Emma Marie Forbes, DPT

  • Physical Therapist
  • Salem, OR
  • NPI 1619820982
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1902471071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 CINNAMON TEAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063300",
            "telephone_number": "503-930-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WASHINGTON ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024355",
            "telephone_number": "503-208-4089",
            "fax_number": "503-967-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "503-930-5025",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivien Bliss, MS LPC MAC
• Sadie Blommendahl
• Tori Ann Blomquist, M.S, CCC-A
• Debra Ida Blondo, RN
• Andrew Lytle Blood
• Lynette Careen Bloom, CADC I
• Bloomer Counseling and Consulting, Inc.
• Tanya Ann Bloomfield
• Blossom Psychiatric Care LLC
• Blue Iris River Counseling LLC

• Physical Therapy Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.