BLOOM PEDIATRIC THERAPY NPI 1053842872

NPI Information

NPI: 1053842872
Provider Name: BLOOM PEDIATRIC THERAPY
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1286 S BARNES DR
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 320-8892
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BLOOM PEDIATRIC THERAPY is a rehabilitation clinic center in Bloomington, IN. BLOOM PEDIATRIC THERAPY NPI is 1053842872. The provider is registered as an organization entity type.

The provider's business location address is:

1286 S BARNES DR
BLOOMINGTON, IN
ZIP 47401-632
Phone: (812) 320-8892

The provider's authorized official is Dustin Plummer .
The authorized official title is Ceo and has the following contact phone number (812) 320-8892.

The enumeration date for this NPI number is 3/23/2017 and was last updated on 3/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation		INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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