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Bloom Pediatric Therapy

Speech-Language Pathologist in Mount Juliet, TN · enumerated 2023 · authorized official Kelcy Bonham, Owner.

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

National Provider Identifier

1831894815

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Registry record

Entity type Organization (Type 2)
Legal business name Bloom Pediatric Therapy
Practice address 2730 N Mount Juliet Rd, Mount Juliet, TN, 37122
Phone (615) 208-4849
Enumeration date Mar 31, 2023
Last updated in NPPES Sep 19, 2024

Taxonomy & classification

174N00000X Lactation Consultant (Non-RN) Other Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary
261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Kelcy Bonham
Title Owner
Phone (615) 208-4849

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-19. Verify at npiregistry.cms.hhs.gov.
Where is Bloom Pediatric Therapy located?
The practice location on file with NPPES is in Mount Juliet, TN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-19.