BLOOM THERAPY CENTER OF ST. PETE, LLC (NPI# 1982034963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982034963 |
| Entity Type | Organization |
| Organization Name | BLOOM THERAPY CENTER OF ST. PETE, LLC |
| Practice Address |
5048 Beach Dr Se Unit F Saint Petersburg FL 33705-4832 |
| Practice Telephone | 8507481088 |
| Mailing Telephone | 8507481088 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |
| Authorized Official Name | KATIE CHAMBERS (FOUNDER) |
| Authorized Official Telephone | 8507481088 |
| Authorized Official Credential | M.C.D., CCC/SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA8870 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
5048 BEACH DR SE UNIT F |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33705-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986642 | Katlyn Gollin | Speech-Language Pathologist | 6916 Stonesthrow Cir N Apt 9102, Saint Petersburg, FL 33710-4765 | 2019-01-29 |
| 1326532524 | Carly Elizabeth Svetec | Speech-Language Pathologist | 190 112th Ave N Apt 214, Saint Petersburg, FL 33716-3212 | 2018-06-20 |
| 1336656586 | Bryan Gigliotti | Speech-Language Pathologist | 6396 31st Ave N, Saint Petersburg, FL 33710-3235 | 2018-01-09 |
| 1780124917 | Jan Miller | Speech-Language Pathologist | 723 17th Ave Ne, Saint Petersburg, FL 33704-4809 | 2017-03-07 |
| 1952753840 | Miriam Garner | Speech-Language Pathologist | 3240 Melton St N, Saint Petersburg, FL 33704-1815 | 2016-07-05 |
| 1306279849 | Katherine Maria Besonen | Speech-Language Pathologist | 2230 6th Ave N, Saint Petersburg, FL 33713-7010 | 2013-08-20 |
| 1740624303 | Molly Kay Bender | Speech-Language Pathologist | 1815 77th Ave N, Saint Petersburg, FL 33702-4800 | 2013-04-24 |
| 1255606612 | Sarah Abramovitz | Speech-Language Pathologist | 12001 9th St N, Apt. 3302, Saint Petersburg, FL 33716-1618 | 2012-03-19 |
| 1275806150 | Hillary Jessica Chisholm | Speech-Language Pathologist | 4146 Huntington St Ne, Saint Petersburg, FL 33703-5453 | 2012-02-22 |
| 1952638140 | Elanda Elodiane Diaz | Speech-Language Pathologist | 5185 6th Way N, Saint Petersburg, FL 33703-2941 | 2009-11-09 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on BLOOM THERAPY CENTER OF ST. PETE, LLC.
| 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.