Bloom and Grow Pediatric Therapy LLC
NPI 1124764535ActiveOrganization· Speech-Language Pathologist· Charleston, SC
Speech-Language Pathologist in Charleston, South Carolina, registered in NPPES in May 2022. The authorized official on file is Melissa Shedden, SLP-CCC, Owner.
Overview
| NPI | 1124764535 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2022 |
| Last updated in NPPES | May 9, 2022 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — | — |
| Clinic/Center, Hearing and Speech | 261QH0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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