MARY KATE BLOOMER (NPI# 1710330568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710330568 |
Entity Type | Individual |
Full Name | MARY KATE BLOOMER |
Credential | OTR/L |
Practice Address |
873 Harwich Rd Brewster MA 02631-5232 |
Mailing Address |
157 Bloomer Path Brewster MA 02631-1240 |
Practice Telephone | 5088969003 |
Mailing Telephone | 5082215745 |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 2542 | MA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | DIVISION OF PROFESSIONAL PROFESSIONAL LICENSURE | 2542 | 01 |
Street Address |
873 HARWICH RD |
City | BREWSTER |
State | MA |
Zip Code | 02631-5232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629258306 | Epoch of Brewster, LLC | Skilled Nursing Facility | 873 Harwich Rd, Brewster, MA 02631-5232 | 2007-11-09 |
1992153894 | Colleen Michele Leahey | Speech-Language Pathologist | 873 Harwich Rd, Brewster, MA 02631-5232 | 2016-06-01 |
1336596980 | Michelle Stevens | Physical Therapist | 873 Harwich Rd, Brewster, MA 02631-5232 | 2016-05-24 |
1972977593 | Src Brewster Snf, LLC | Clinic/Center | 873 Harwich Rd, Brewster, MA 02631-5232 | 2015-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
1669972790 | Julie Lynne Mollica | Social Worker | 456 Flax Pond Road, Brewster Treatment Program, Old Colony Ymca, Brewster, MA 02631 | 2018-02-15 |
1295244168 | Michele Louise Oconnor | Occupational Therapist | 1721 Long Pond Road, Brewster, MA 02631 | 2017-09-23 |
1356799902 | Katherine Drach Reilly | Behavioral Analyst | 63 Brook Trail Rd, Brewster, MA 02631 | 2016-05-24 |
1407214901 | Md Visits LLC | Emergency Medicine | 162 Highland Moors Dr., Brewster, MA 02631 | 2016-01-29 |
1720350390 | Kevin Whelley | Counselor | 21 Cross Street, Brewster, MA 02631 | 2012-01-30 |
1518238609 | Pleasant Bay Health and Wellness Center LLC | Physical Therapist | 64 Woodlands Way, Brewster, MA 02631 | 2012-01-20 |
1184740953 | Jacs Ops IIi, Inc | Assisted Living Facility | 855 Harwich Road, Brewster, MA 02631 | 2007-03-22 |
1184763997 | Beverly Ann Biondi | Physical Therapist | 84 Underpass Rd, Brewster, MA 02631 | 2007-02-06 |
1679646384 | Paul James Tausek | Social Worker | 25 Breakwater Rd, Brewster, MA 02631 | 2006-11-17 |
Find all providers in zip 02631 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588157309 | Jill Elaine Wetzler | Specialist | 3 N Brewster Rd, Brewster, NY 10509-4147 | 2018-06-07 |
1093206542 | Bernadette Parker | Specialist | 125 Blackberry Dr, Brewster, NY 10509-4110 | 2018-05-21 |
1104339290 | Ann Marie Dunn | Specialist | 29 Rockledge Dr, Brewster, NY 10509-5537 | 2017-11-10 |
1063816452 | Marie Ford | Specialist | 101 Joes Hill Rd, Brewster, NY 10509-5321 | 2014-10-15 |
1700205358 | Masakazu Tanahashi | Specialist | 39 South Rd, Brewster, NY 10509-3204 | 2014-04-10 |
1437586187 | John Mueller | Specialist | 20 Farm-to-market Rd, Brewster Central School District, Brewster, NY 10509-2712 | 2013-09-26 |
1558625616 | Rachel Ann Gutterman-gerstman | Specialist | 301 Dingle Ridge Rd, Brewster, NY 10509-5514 | 2012-07-03 |
1114281375 | Francine M Santos | Specialist | 27 Highview Ter, Brewster, NY 10509 | 2012-07-02 |
1497018568 | Lynn Edelson | Specialist | 35 Maple Rd, Brewster, NY 10509-2125 | 2012-06-22 |
1518229509 | Megan Leigh Gersch | Specialist | 52 Panorama Dr, Brewster, NY 10509-3210 | 2012-06-14 |
Find all providers in BREWSTER |
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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.