ELLEN G BLOOM (NPI# 1649575903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649575903 |
| Entity Type | Individual |
| Full Name | ELLEN G BLOOM |
| Credential | M.ED |
| Practice Address |
19459 Estuary Dr Boca Raton FL 33498-6202 |
| Practice Telephone | 5614884067 |
| Mailing Telephone | 5614884067 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2012-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801206347 | Ellen Bloom | Counselor | 7 Randall Hts, Middletown, NY 10940-4615 | 2014-05-06 |
| 1538133400 | Ellen Marcie Bloom | Social Worker | Madigan Army Medical Center, 9040 Reid St., Attn:mchj-qcr, Tacoma, WA 98431-0001 | 2006-02-15 |
| 1316548209 | Ellen Eileen Bloom | Pharmacist | 7940 Crain Hwy S, Glen Burnie, MD 21061-4932 | 2020-11-05 |
| 1114418902 | Ellen B Bloom | Physical Therapist | 50 Blymyer Ave, Mansfield, OH 44903-2343 | 2018-05-29 |
| 1811123839 | Ellen E Bloom | Massage Therapist | 3417 Evanston Ave N, Suite 526, Seattle, WA 98103-8626 | 2009-06-04 |
| Street Address |
19459 ESTUARY DR |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33498-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700275146 | Cindy Bonilla | Nurse Practitioner | 10788 Barque Court, Boca Raton, FL 33498 | 2015-01-22 |
| 1386982213 | Mohammad Ali Wehbe | Physician Assistant | 11657 Sw Rowena St, Post Saint Lucie, FL 33498 | 2013-01-28 |
| 1962748020 | Delores Arnold | Ophthalmology | 11750 Watercrest Lane, Boca Raton, FL 33498 | 2012-12-18 |
| 1427308022 | Joshua Corey Stern | Massage Therapist | 10631 Stonebridge Blvd., Boca Raton, FL 33498 | 2012-09-12 |
| 1538417472 | Karen Sue Schneider | Social Worker | 19335 Skyridge Circle, Boca Raton, FL 33498 | 2012-08-27 |
| 1124387311 | Children's Dental Place of Boca Raton,inc | Dentist | 20401s. S.r. #7, G-14, Boca Raton, FL 33498 | 2012-05-09 |
| 1033421763 | Stat Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 19892 Dinner Key Dr., Boca Raton, FL 33498 | 2010-07-10 |
| 1467699900 | Shira N Hammer | Occupational Therapist | 20285 Ocean Key Dr, Boca Raton, FL 33498 | 2009-01-20 |
| 1467673954 | Danna S Fichtel | Pharmacist | 9851 Glades Rd, Boca Raton, FL 33498 | 2007-05-01 |
| 1215158969 | Anthony N Dardano | Obstetrics & Gynecology | 20301 Hacienda Court, Boca Raton, FL 33498 | 2007-05-01 |
| Find all providers in zip 33498 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942833033 | Krystal Marie Mcconnell | Developmental Therapist | 9841 Arbor Oaks Ln Apt 208, Boca Raton, FL 33428-2226 | 2020-02-17 |
| 1568001048 | Mercedes E Dietz | Developmental Therapist | 8329 Boca Rio Dr, Boca Raton, FL 33433-8304 | 2019-12-31 |
| 1932747508 | Caroline Hosken Araujo | Developmental Therapist | 6622 Villa Sonrisa Dr Apt 823, Boca Raton, FL 33433-4011 | 2019-12-14 |
| 1811531601 | Alyssa Kovacs | Developmental Therapist | 11762 Preservation Ln, Boca Raton, FL 33498-6233 | 2019-11-05 |
| 1851876395 | Pediatric Feeding Institute of South Florida | Developmental Therapist | 10604 Pebble Cove Ln, Boca Raton, FL 33498-6341 | 2018-10-01 |
| 1316437478 | Carolyn Landes | Developmental Therapist | 4695 Brandywine Dr, Boca Raton, FL 33487-2177 | 2018-05-15 |
| 1487142626 | Lianet Alfonso Armas | Developmental Therapist | 440 Nw 67th St Apt 208, Boca Raton, FL 33487-2938 | 2018-04-24 |
| 1366948275 | Rolando Martin Lam | Developmental Therapist | 5646 Wellesley Park Dr Apt 103, Boca Raton, FL 33433-6766 | 2018-04-01 |
| 1053813584 | Valeria Lorena Nunez | Developmental Therapist | 10147 Boca Entrada Blvd Apt 106, Boca Raton, FL 33428-5853 | 2018-02-28 |
| 1407368996 | Kaitlin M Schultz | Developmental Therapist | 4800 N Federal Hwy Ste 104, Boca Raton, FL 33431-5188 | 2017-10-25 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33498 |
Please comment or provide details below to improve the information on ELLEN G BLOOM.
| 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.