Healthcare Provider Details

I. General information

NPI: 1184556896
Provider Name (Legal Business Name): BLOOM IN-HOME THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15117 MIDDLEGATE RD
SILVER SPRING MD
20905-5720
US

IV. Provider business mailing address

15117 MIDDLEGATE RD
SILVER SPRING MD
20905-5720
US

V. Phone/Fax

Practice location:
  • Phone: 203-788-4905
  • Fax:
Mailing address:
  • Phone: 203-788-4905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNA OGGERI
Title or Position: OCCUPATIONAL THERAPIST
Credential: MOTR/L
Phone: 203-788-4905