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Bloom Speech Therapy

Speech-Language Pathologist in Columbia, SC · enumerated 2022 · authorized official Courtney Martin, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104564384

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Registry record

Entity type Organization (Type 2)
Legal business name Bloom Speech Therapy
Practice address 105 Toad Rd, Columbia, SC, 29209
Fax (855) 202-0515
Enumeration date May 26, 2022
Last updated in NPPES May 26, 2022

Taxonomy & classification

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary
251J00000X Nursing Care Agency Agencies Secondary
261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities Secondary
261QP0905X State or Local Public Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Courtney Martin
Title President

Other identifiers

Identifier Type State Issuer
SA1908 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bloom Speech Therapy?
The NPI for Bloom Speech Therapy is 1104564384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bloom Speech Therapy?
NPPES lists Courtney Martin (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-26.