MRS. STACIE DAWN BLOOM I


Address: 10371 W Sample Rd, Coral Springs, FL 33065-3941
Phone: 9543410090

MRS. STACIE DAWN BLOOM I (NPI# 1548454168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548454168
Entity Type Individual
Full Name MRS. STACIE DAWN BLOOM I
Credential OTR
Practice Address 10371 W Sample Rd
Coral Springs
FL 33065-3941
Mailing Address 672 Nw 109th Ter
Coral Springs
FL 33071-7944
Practice Telephone 9543410090
Mailing Telephone 9542343210
Enumeration Date 2007-08-28
Last Update Date 2007-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
OT 8333 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 885131000 05

Office Location

Street Address 10371 W SAMPLE RD
City CORAL SPRINGS
State FL
Zip Code 33065-3941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407945561 Tamar Lynn Ozery Physical Therapist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2006-10-12
1770720070 Hector J Torres Physical Therapy Assistant 10371 W Sample Rd, Coral Springs, FL 33065-3941 2009-01-08
1073758066 Dina Bartos Cazacu Occupational Therapist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2008-12-05
1871752592 Stefanie Michelle Wright Speech-Language Pathologist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2008-06-06
1841465929 Michele Rosen Specialist/Technologist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2008-04-29
1942474275 Jennifer Susan Risley Occupational Therapist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2008-04-17
1023205242 Caren S Licata Speech-Language Pathologist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2007-10-02
1578759924 Eileen Trop Shimony Developmental Therapist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2007-09-19
1528265329 Patricia Cardoso Monteiro Specialist/Technologist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2007-06-27
1396951067 Jodi Walsh Specialist/Technologist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2007-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740899418 United Adult Care Services, LLC Home Health 11448 West Sample Rd, Coral Springs, FL 33065 2020-07-28
1245872068 Grace Diana Perez Developmental Therapist 3325 N University Drive, Coral Springs, FL 33065 2019-10-14
1497397210 Anjulia Maureen Nicholson Speech-Language Pathologist 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 2019-10-14
1467911131 Sawgrass Medical Supplies LLC Durable Medical Equipment & Medical Supplies 12415 Nw 35 Street, Coral Springs, FL 33065 2019-03-13
1992274252 Kayon Shepherd Dermatology 7837 West Sample Rd, #127, Coral Springs, FL 33065 2018-11-15
1073009148 Empire Detox, LLC Clinic/Center 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 2018-07-02
1487148706 Perfect Balance Healthcare, Pllc Pharmacist 7500 Live Oak Dr., Coral Springs, FL 33065 2018-06-20
1477051498 Neuro Wellness Centers of America, LLC Clinic/Center 9734 W Sample Rd, Coral Springs, FL 33065 2018-01-24
1821502550 Happy Adult Day Care Rehab, LLC Clinic/Center 7463 W Sample Rd, Coral Springs, FL 33065 2017-11-16
1821500059 I'd Rather Be Home Homecare Services LLC Registered Nurse 7501 Nw 42nd Drive, Coral Springs, FL 33065 2017-10-27
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588030308 Maria Enlow Occupational Therapist 9411 Nw 1st St, Coral Springs, FL 33071-7367 2015-08-16
1962796813 Caran Gottlieb Occupational Therapist 11902 Nw 53rd Ct, Coral Springs, FL 33076-3226 2011-06-07
1972788149 Jennifer Guttenberg Occupational Therapist 5429 Nw 108th Way, Coral Springs, FL 33076-2744 2008-01-07
1528101243 Bonnie Keaton Occupational Therapist 10168 W Sample Rd, Coral Springs, FL 33065-3938 2007-02-14
1164564241 Peditherapy Inc Occupational Therapist 4155 Nw 64th Ave, Coral Springs, FL 33067-3043 2007-02-13
1356498430 Madalyn S Becker Occupational Therapist 10944 Nw 19th Mnr, Coral Springs, FL 33071-5769 2007-01-04
1881779171 Jaclyn Selwyn Occupational Therapist 5071 Nw 125th Ave, Coral Springs, FL 33076-3448 2006-10-26
1649384587 Corey Emert Occupational Therapist 9724 W Sample Rd, Coral Springs, FL 33065-4004 2006-08-18
1124025044 Cristina Renee Ramirez Occupational Therapist 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL 33071-5205 2005-07-07
1942474275 Jennifer Susan Risley Occupational Therapist 10371 W Sample Rd, Coral Springs, FL 33065-3941 2008-04-17
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Competitor

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City CORAL SPRINGS
Zip Code 33065

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Dataset Information

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.

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