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Full Bloom Speech Language Pathology

Full Bloom Speech Language Pathology is a healthcare organization registered as Speech-Language Pathologist in Cornelius, NC, holding Type 2 (organization) NPI 1225877293 since 2024. The authorized official on file is Amy Elder, Speech Language Pathologist.

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NPI 1225877293
Entity type Organization (Type 2)
Legal business name Full Bloom Speech Language Pathology
Practice address 17111 KENTON DR STE 206B, Cornelius, NC, 28031
Phone 9373696613
Enumeration date 2024-05-21
Last updated in NPPES 2024-05-21

Authorized official

Name Amy Elder
Title Speech Language Pathologist
Phone 9373696613

Taxonomy & classification

Taxonomy code Specialty Primary License State
235Z00000X Speech-Language Pathologist Primary
Copy-ready billing details
Provider: Full Bloom Speech Language Pathology
NPI: 1225877293
Taxonomy: 235Z00000X (Speech-Language Pathologist)
Address: 17111 KENTON DR STE 206B, Cornelius, NC, 28031

Providers at this address

NPI Name Type Specialty Location
1578692943 Erin Crome Individual Pediatric Occupational Therapist Cornelius, NC
1861732596 Karen Crilly Individual Pediatric Physical Therapist Cornelius, NC
1801416565 Cool Beans Therapy Clubhouse, LLC Organization Pediatric Occupational Therapist Cornelius, NC
1720664501 Loren Kline Individual Occupational Therapy Assistant Cornelius, NC

Verify this record

Cross-check NPI 1225877293 against the authoritative CMS record: view Full Bloom Speech Language Pathology on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-21. Verify at npiregistry.cms.hhs.gov.
Where is Full Bloom Speech Language Pathology located?
The practice location on file with NPPES is in Cornelius, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2024-05-21.