BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES NPI 1184908139

NPI Information

  • NPI: 1184908139
  • Provider Name: BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 3111 PONCE DE LEON
    CORAL GABLES, FL
    ZIP 33134
  • Phone: (305) 444-9807

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NPI Details

BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES is a pediatrics physical therapist in Coral Gables, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. BLOSSOM : DEVELOPMENTAL THERAPY ASSOCIATES NPI is 1184908139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3111 PONCE DE LEON
CORAL GABLES, FL
ZIP 33134
Phone: (305) 444-9807
Fax: (305) 444-9808

The provider's authorized official is Jennifer A Burch .
The authorized official title is President and has the following contact phone number (305) 444-9807.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 10/7/2011.

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
12251P0200XPhysical TherapistPediatricsPT17800FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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