BLOOM CENTER FOR PEDIATRIC THERAPY, LLC
NPI 1215397666
Speech-Language Pathologist in Pocatello, ID

Q: 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.

Active since February 27, 2016

7677 W PORTNEUF RD, POCATELLO, ID 83204(208) 604-6260 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2026, Nov 22, 2025, Feb 27, 2016 (3 updates tracked since 2016).

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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

NPI1215397666

Entity TypeOrganization

Primary Taxonomy235Z00000X

Legal Business NameBLOOM CENTER FOR PEDIATRIC THERAPY, LLC

Location Address7677 W PORTNEUF RDPocatello, ID 83204-7336

Mailing Address7677 W Portneuf RdPocatello, ID 83204-7336 · (208) 604-6260

Phone(208) 604-6260

Organization SubpartNo

Authorized OfficialMichelle Lee LanceOwner/speech Language Pathologist · (208) 604-6260

Enumeration DateFebruary 27, 2016

Last NPPES UpdateApril 16, 20263 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1215397666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in ID · SLP-2171

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 ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

7677 W PORTNEUF RD, Pocatello, ID 83204

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 5

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

HANNAH NICOLE RASCHKE-FLORES

Speech-Language Pathologist