Kendra Louise Bloomer
NPI 1831584465ActiveIndividual· Physical Therapist· Deland, FL
Physical Therapist with Coastline Physical Therapy LLC, practicing in Deland, Florida. Medicare paid $37,100 for services to 66 patients in 2024.
Overview
| NPI | 1831584465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 31, 2015 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT30376 | FL |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AL4091 | FL |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 1,806 across 13 procedure codes |
| Paid by Medicare | $37,100 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Coastline Physical Therapy LLCPort Orange, FL · 3 clinicians
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