BLOOM SPEECH THERAPY
NPI 1104564384
Speech-Language Pathologist in Columbia, SC

Active since May 26, 2022
105 TOAD RD, COLUMBIA, SC 29209(803) 260-6253(855) 202-0515 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bloom Speech Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM SPEECH THERAPY (NPI 1104564384) is a healthcare organization registered as a speech-language pathologist in Columbia, South Carolina and active in the NPI registry since May 2022. The organization lists Courtney Olivia Martin, President, as its authorized official.

NPPES Registry Identity

NPI1104564384
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBLOOM SPEECH THERAPY
Location Address105 TOAD RDColumbia, SC 29209-3177
Mailing AddressPo Box 90702Columbia, SC 29290-1702 · (803) 260-6253
Fax(855) 202-0515
Organization SubpartNo
Authorized OfficialCourtney Olivia MartinPresident · (803) 260-6253
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
NPI 1104564384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedNursing CareTaxonomy 251J00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
105 TOAD RD, Columbia, SC 29209

Other Identifiers 1

MedicaidSA1908SC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
105 TOAD RD
COLUMBIA, SC 29209
Speech-Language Pathologist
105 TOAD RD
COLUMBIA, SC 29209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104564384, enumerated as an "organization" on May 26, 2022.

The provider is located at 105 TOAD RD COLUMBIA, SC 29209 and the phone number is (803) 260-6253.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.