MRS. KIM BLOMS (NPI# 1871853010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871853010 |
| Entity Type | Individual |
| Full Name | MRS. KIM BLOMS |
| Credential | DPT |
| Practice Address |
1702 E Main St # 103 Mandan ND 58554-3818 |
| Mailing Address |
4335 Fort Lincoln Rd Mandan ND 58554-7930 |
| Practice Telephone | 7014150000 |
| Mailing Telephone | 7014716122 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1627 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1702 E MAIN ST # 103 |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107054 | Nicole Berdal | Speech-Language Pathologist | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2020-06-03 |
| 1649736422 | Kids In Motion Inc | Clinic/Center | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2019-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers in zip 58554 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114198983 | Erika Lea Hanson | Physical Therapist | 1420 8th St N, Fargo, ND 58102-2613 | 2008-03-19 |
| 1861619900 | Karena Lee Holm | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201 | 2007-04-19 |
| 1497805196 | Great Kids Therapy, Ltd. | Physical Therapist | 102 W Beaton Dr, Suite 100, West Fargo, ND 58078-2652 | 2007-01-12 |
| 1275680720 | Jodi Denee Hendrickson | Physical Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2007-01-05 |
| 1053468223 | Brian Allen Borchardt | Physical Therapist | 7119 Maple Ln, Horace, ND 58047-4714 | 2007-01-03 |
| 1245287069 | Tammy Leigh Sayler | Physical Therapist | 2951 S 34th St, Grand Forks, ND 58201-6061 | 2006-05-27 |
| 1689290124 | Engagement Pllc | Physical Therapist | 508 13th St E, Dickinson, ND 58601-4179 | 2020-06-21 |
| 1548712516 | Jeremy St. Aubin | Physical Therapist | 612 Center Ave N, Ashley, ND 58413-7013 | 2016-10-26 |
| 1487032173 | Melissa Marie Lennon | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201-6326 | 2015-05-13 |
| 1023411386 | Theresa Marie Cowles | Physical Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-10-01 |
| Find all providers with the same taxonomy | ||||
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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.