Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNEST RANDY BLOOM, PTA
Active Sole ProprietorERNEST RANDY BLOOM, PTA is a Occupational Therapist healthcare provider located in AUGUSTA, Georgia. NPI 1366561011 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · AUGUSTA, GA
Registration Details
- NPI Number
- 1366561011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.348716449916 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
TE007060 (PA)PTA002060 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1930 HIGHLAND AVENUE SUITE AAUGUSTA, GA, 309047803Browse GA providers · Browse ZIP 30904
- Phone
- 7064819105
- Fax
- 7064819107
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC H. JOHNSON | PTA | 1982719712 |
| JOHN VINCENT HAMMETT III | PTA | 1326165242 |
| EARL BRUCE CHAPMAN | P.T. | 1285752626 |
| SHERRI J. EBETINO | PTA | 1972621332 |
| MR. RALPH A KENNY | — | 1407080237 |
| LAURA EVELYN BOONE | RPTA | 1942510888 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.