Bloom Physical Therapy and Wound Care LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLOOM PHYSICAL THERAPY AND WOUND CARE LLC

Practice address

747 Cypress St
Yeadon, PA 19050-3504

Phone

(215) 850-6323

NPI assigned

Oct 6, 2019

Last updated

Oct 6, 2019By 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

Victoria Renee Bloom, MPT, CWSNPI 1093010662

Title

Owner

Phone

(215) 850-6323

Specialties & licenses 2

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.

• Victoria Renee Bloom, MPT, CWS

  • Physical Therapist
  • Yeadon, PA
  • NPI 1093010662
  Authorized official Same address or phone

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1982245411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 CYPRESS ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503504",
            "telephone_number": "215-850-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 CYPRESS ST",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503504",
            "telephone_number": "215-850-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PHYSICAL THERAPY AND WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-850-6323",
        "authorized_official_credential": "MPT, CWS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apex Human Services, LLC (Apex Human Services)
• Brian Armstead, MSW, MCP, NLP-CP
• Angela M Baiano, COTA/L
• Elizabeth Anne Berghoff, COTA/L
• Johnnie Marie Berry, LCSW
• Victoria Renee Bloom, MPT, CWS
• Blossom Health & Wellness (Blossom Health and Wellness)
• Bodypoint
• Sheavone Boyd
• Tiffany Bracey, LSW

• Physical Therapy Clinic/Center in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.