BLOOM CENTER FOR PEDIATRIC THERAPY, LLC
NPI 1215397666
Speech-Language Pathologist in Pocatello, ID
About Bloom Center For Pediatric Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM CENTER FOR PEDIATRIC THERAPY, LLC (NPI 1215397666) is a healthcare organization registered as a speech-language pathologist in Pocatello, Idaho and active in the NPI registry since February 2016. The organization lists Michelle Lee Lance, Owner/speech Language Pathologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bloom Center For Pediatric Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Bloom Center For Pediatric Therapy, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bloom Center For Pediatric Therapy, LLC's NPI number?
The NPI number for Bloom Center For Pediatric Therapy, LLC is 1215397666. It was assigned to this organization in the NPPES registry on February 27, 2016.
Where is Bloom Center For Pediatric Therapy, LLC located?
Bloom Center For Pediatric Therapy, LLC is located at 7677 W Portneuf Rd, Pocatello, ID 83204. The listed phone number is (208) 604-6260.
What is Bloom Center For Pediatric Therapy, LLC's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Bloom Center For Pediatric Therapy, LLC enrolled in Medicare?
Yes. Bloom Center For Pediatric Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Center For Pediatric Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Bloom Center For Pediatric Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (5), Physical Therapist in Private Practice (3) and Occupational Therapist in Private Practice (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bloom Center For Pediatric Therapy, LLC accept?
Health plans from Moda Health Plan, Inc. list Bloom Center For Pediatric Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bloom Center For Pediatric Therapy, LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bloom Center For Pediatric Therapy, Llc · NPI 1215397666
Speech-Language Pathologist organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since February 27, 2016.
## Identity
- **NPI:** 1215397666 (Entity type: Organization)
- **Enumerated:** February 27, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Michelle Lance, OWNER/SPEECH LANGUAGE PATHOLOGIST
## Practice location
- **Address:** 7677 W PORTNEUF RD, Pocatello, ID 83204-7336
- **Phone:** (208) 604-6260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Speech Language Pathologist (5), Physical Therapist in Private Practice (3), Occupational Therapist in Private Practice (2); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215397666) · Data from the CMS NPPES public registry.