Healthcare Provider Details

I. General information

NPI: 1629922596
Provider Name (Legal Business Name): BRIDGE & BLOOM REHABILITATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14707 S DIXIE HWY STE 402C
MIAMI FL
33176-7960
US

IV. Provider business mailing address

14707 S DIXIE HWY STE 402C
MIAMI FL
33176-7960
US

V. Phone/Fax

Practice location:
  • Phone: 305-680-0775
  • Fax:
Mailing address:
  • Phone: 305-680-0775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: EILEEN CRUZ
Title or Position: OWNER
Credential: MSOT OTR/L
Phone: 917-821-6223