Full Bloom Therapy Az

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FULL BLOOM THERAPY AZ

Practice address

2016 E Stacey Rd
Gilbert, AZ 85298-7458

Phone

(904) 868-0618

NPI assigned

Nov 11, 2025

Last updated

Nov 11, 2025By 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

Mrs. Tina Hill, SLPANPI 1245777010

Title

Owner

Phone

(904) 868-0618

Specialties & licenses 1

Addresses

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.

• Tina Hill

  • Speech-Language Assistant
  • Gilbert, AZ
  • NPI 1245777010
  NPD Authorized official

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1902776289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 E STACEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987458",
            "telephone_number": "904-868-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 E STACEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852987458",
            "telephone_number": "904-868-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM THERAPY AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-868-0618",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.