Bloom Physical Therapy PLLC
NPI 1124730346ActiveOrganization· Physical Therapist· Penfield, NY
Physical Therapist in Penfield, New York, registered in NPPES in December 2022. The authorized official on file is Rachel Ann Gulvin, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1124730346 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2022 |
| Last updated in NPPES | Jun 14, 2026 |
| Certified by provider | Jun 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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