NPIMap

Organization Active NPI

Jacqueline M Brideau, PLLC Dba Bloom and Grow Pediatric Physical Therapy

  • Pediatric Physical Therapist
  • Alexandria, VA
National Provider Identifier
1922956945
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
JACQUELINE M BRIDEAU, PLLC DBA BLOOM AND GROW PEDIATRIC PHYSICAL THERAPY
Practice address
2104 Windsor Rd
Alexandria, VA 22307-1016
Phone
(703) 829-7356
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Dr. Jacqueline Brideau, PTNPI 1851947881
Title
Owner, Physical Therapist
Phone
(703) 946-6494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

2104 Windsor Rd
Alexandria, VA 22307-1016

Mailing address

2104 Windsor Rd
Alexandria, VA 22307-1016

Other names 1

  • Bloom and Grow Pediatric Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1922956945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WINDSOR RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223071016",
            "telephone_number": "703-829-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE M BRIDEAU, PLLC DBA BLOOM AND GROW PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "BRIDEAU",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-946-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom and Grow Pediatric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.