MARY KATE BLOOMER


Address: 873 Harwich Rd, Brewster, MA 02631-5232
Phone: 5088969003

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 2542 MA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA DIVISION OF PROFESSIONAL PROFESSIONAL LICENSURE 2542 01

Office Location

Street Address 873 HARWICH RD
City BREWSTER
State MA
Zip Code 02631-5232

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BREWSTER
Zip Code 02631

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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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