KRISTY BLOOM (NPI# 1255952115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255952115 |
| Entity Type | Individual |
| Full Name | KRISTY BLOOM |
| Credential | PT |
| Practice Address |
2655 Villa Creek Dr Ste 140 Dallas TX 75234-7385 |
| Mailing Address |
5800 Hidden Creek Ln Frisco TX 75036-4642 |
| Practice Telephone | 9728009626 |
| Mailing Telephone | 9728009626 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
1157647 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2655 VILLA CREEK DR STE 140 |
| City | DALLAS |
| State | TX |
| Zip Code | 75234-7385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053865675 | Lisa Ann Henderson | Physical Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2016-08-11 |
| 1417557802 | Amanda Collins | Speech-Language Pathologist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-10-27 |
| 1952901274 | Hannah Cheyenne Windham | Physical Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-10-27 |
| 1326660788 | Mary Kathryn Tucker | Speech-Language Pathologist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-05-08 |
| 1639798960 | Jacqueline M Lauder | Occupational Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-04-16 |
| 1730708975 | Nancy Angelia Jackson | Speech-Language Pathologist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-04-08 |
| 1740819028 | Kinsey Squires | Occupational Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-04-07 |
| 1881223238 | Crystel Mills | Registered Nurse | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-04-07 |
| 1720615081 | Justin Randal Tucker | Speech-Language Pathologist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-03-26 |
| 1689201857 | Christina Lighthill | Occupational Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1124597232 | Caleb Poe | Physical Therapist | 1775 Wittington Place, Ste. #175, Dallas, TX 75234 | 2018-11-19 |
| 1043790298 | Joseph M Satterfield | Physical Therapist | 1775 Wittington Place Ste. #175, Dallas, TX 75234 | 2018-08-17 |
| 1023507621 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2702 Valwood Pkwy, Farmers Branch, TX 75234 | 2018-05-09 |
| 1821593385 | Farmers Branch Primary Care LLC | Family Medicine | 13000 Josey Lane Ste 100, Farmers Branch, TX 75234 | 2018-03-27 |
| 1487159349 | Kavitha Prasad | Dentist | 3030 Lbj Freeway, Suite 1400, Dallas, TX 75234 | 2018-03-23 |
| 1841793734 | Dedicated Hospice Care LLC | Hospice Care, Community Based | 2665 Villa Creek Dr #201, Dallas, TX 75234 | 2018-03-16 |
| 1811499387 | Lumincare Physician Group, Pa | Family Medicine | 2914 Valley View Lane, Farmers Branch, TX 75234 | 2018-03-01 |
| 1972014223 | Judith Johnson | Home Health Aide | 2828 Forest Ln Ste 1143, Dallas, TX 75234 | 2017-10-13 |
| 1780101642 | Godly Hospice and Palliative Care LLC | Hospice Care, Community Based | 2735 Villa Creek Dr Ste A260, Farmers Branch, TX 75234 | 2017-08-23 |
| Find all providers in zip 75234 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013207802 | Terri Lynn Moore | Physical Therapist | 411 N Washington Ave Ste 4000, Dallas, TX 75246-1776 | 2011-04-13 |
| 1790314995 | Elizabeth Waldie | Physical Therapist | 5161 Harry Hines Blvd, Dallas, TX 75235-7707 | 2020-04-08 |
| 1457828014 | Anna Lovotti | Physical Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2018-10-31 |
| 1023584471 | Dorothy Powell | Physical Therapist | 411 N Washington Ave Ste 4000, Dallas, TX 75246-1776 | 2018-10-23 |
| 1245778042 | Elizabeth Mccrary | Physical Therapist | 10503 Metric Dr, Dallas, TX 75243-5514 | 2017-02-01 |
| 1912457102 | Radha Morar | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-10-11 |
| 1285090753 | Erin Perez | Physical Therapist | 5151 Harry Hines Blvd, Dallas, TX 75235-7707 | 2016-01-13 |
| 1508250309 | Kristen Qualls | Physical Therapist | 5323 Harry Hines Blvd, Dallas, TX 75390-9055 | 2015-03-19 |
| 1043604846 | Janet Moeller | Physical Therapist | 5323 Harry Hines Blvd, Dallas, TX 75390-9055 | 2015-03-19 |
| 1881936581 | Ashley Elizabeth Dietzel | Physical Therapist | 411 N Washington Ave, Ste. 4000, Dallas, TX 75246-1713 | 2013-03-20 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.