Ali Rae Bloomer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21291 Issued in FL

Practice address

34 Barrington Dr
Palm Coast, FL 32137-8861

Phone

(903) 905-0412

NPI assigned

Sep 6, 2021

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dear Moms Therapy, LLC

  • Occupational Therapist
  • Lubbock, TX
  • NPI 1518712975
  NPD Authorized official

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1902574718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 VICTORIA LAKES DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322260711",
            "telephone_number": "386-276-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BARRINGTON DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378861",
            "telephone_number": "903-905-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "ALI",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21291",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "21291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Blandford
• Constance Blank
• Bryan Keith Blankenship, D.D.S.
• Jeremiah Blasius
• Allison Joy Blodgett, BCBA
• Blue Ocean Deramtology LLC
• Blue Sea Mental Health Practitioners LLC
• Kaitlin K Blum
• Diane M Blumlo, M.S. DD & ABA
• Tara Boatwright

• Occupational Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.