Bloom & Grow Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM & GROW THERAPY LLC

Practice address

3637 Del Prado Blvd S Ste 305
Cape Coral, FL 33904-7199

Phone

(239) 218-6396

NPI assigned

Apr 6, 2026

Last updated

Apr 6, 2026By 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

Idelmys Diaz

Title

Owner

Phone

(239) 218-6396

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1932041522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 DEL PRADO BLVD S STE 305",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047199",
            "telephone_number": "239-218-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 DEL PRADO BLVD S STE 305",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047199",
            "telephone_number": "239-218-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM & GROW THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "IDELMYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-218-6396"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.