| Bloom Physical Therapy, Llc | |
|
3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212-2161 | |
| (480) 357-6500 | |
| Not Available |
| Full Name | Bloom Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3035 S Ellsworth Rd Ste 128, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003359225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8969 (Arizona) | Primary |
| Provider Name | Eric J Bloom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730480666 PECOS PAC ID: 3476742701 Enrollment ID: I20110118000660 |
| Provider Name | Rebecca L Ferrarese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578829818 PECOS PAC ID: 7012140676 Enrollment ID: I20150216001133 |
| Provider Name | Andrew Ricks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326578642 PECOS PAC ID: 7113292558 Enrollment ID: I20171010003793 |
| Provider Name | Tanner Conover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457099665 PECOS PAC ID: 9931580354 Enrollment ID: I20220718000539 |
| Provider Name | Jessica Wujek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881379394 PECOS PAC ID: 5395190268 Enrollment ID: I20231012001606 |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Physical Therapy, Llc 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212-2161 Ph: () - | Bloom Physical Therapy, Llc 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212-2161 Ph: (480) 357-6500 |
Justin Dunaway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 E Baseline Rd, Suite 102, Mesa, AZ 85206 Phone: 480-222-0655 Fax: 480-222-1457 | |
Deborah A Mordhorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 | |
Anda Michelle Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5358 E Baseline Road, Mesa, AZ 85206 Phone: 480-699-9224 | |
Joshua N Lacanlale, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212 Phone: 480-357-6500 Fax: 480-357-6515 | |
Christopher Samuel Anderson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 314, Mesa, AZ 85202 Phone: 480-833-7879 | |
Savannah Torrez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2524 E Golden St, Mesa, AZ 85213 Phone: 575-499-4249 |