MEDICARE: AMANDA MARIE BLOOM PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA28793	FL

General Provider Information

NPI Number	:	1871456319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MARIE BLOOM PTA

Provider Business Mailing Address
First Line	:	5755 38TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-1805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5755 38TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-1805
Country	:	US
Telephone Number	:	772-404-9353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

Similar Medicare Providers

1205560356 — TOYNIA ARMBRUSTER NBC-HWC, MS
Practice Location Address:

1805 21ST AVE APT A
VERO BEACH, FL
32960-3028

Practice Phone: 614-906-8664
Practice Fax:

1649223793 — ESSENCE PHARMACY CORP
Practice Location Address:

1805 NE 164TH ST
NORTH MIAMI BEACH, FL
33162-4109

Practice Phone: 305-948-3500
Practice Fax: 305-948-8100

1396810537 — DR. RICHARD BLACKWOOD GRUNDY D.D.S.
Practice Location Address:

1805 LASKIN RD , SUITE 100
VIRGINIA BEACH, VA
23454-4538

Practice Phone: 757-321-1870
Practice Fax: 757-963-0468

1023175148 — DR. ROSHAN S TALREJA MD
Practice Location Address:

1805 COLONIAL MEDICAL COURT
VA BEACH, VA
23454

Practice Phone: 757-481-4475
Practice Fax: 757-481-7650

1104975994 — DR. ROBERT WILLIAM WOODWORTH D.D.S.
Practice Location Address:

511 76TH AVE
ST PETE BEACH, FL
33706-1805

Practice Phone: 727-367-1551
Practice Fax:

1780809871 — SILVER LINING ENTERPRISES
Practice Location Address:

1805 SUMMERHEDGE CLOSE
VIRGINIA BEACH, VA
23456-5451

Practice Phone: 757-416-1380
Practice Fax:

Directions to “ AMANDA MARIE BLOOM PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.