BLOOM SANCTUARY PLLC
NPI 1508720517
Chiropractor in Paoli, PA
About Bloom Sanctuary Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM SANCTUARY PLLC (NPI 1508720517) is a healthcare organization registered as a chiropractor in Paoli, Pennsylvania and active in the NPI registry since December 2025. The organization lists Brandie Elizabeth Keates, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Sanctuary Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bloom Sanctuary PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Sanctuary PLLC's NPI number?
The NPI number for Bloom Sanctuary PLLC is 1508720517. It was assigned to this organization in the NPPES registry on December 13, 2025.
Where is Bloom Sanctuary PLLC located?
Bloom Sanctuary PLLC is located at 136 W Lancaster Ave Ste 2, Paoli, PA 19301. The listed phone number is (610) 822-0044.
What is Bloom Sanctuary PLLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Bloom Sanctuary PLLC enrolled in Medicare?
Yes. Bloom Sanctuary PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Sanctuary PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bloom Sanctuary PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bloom Sanctuary PLLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Sanctuary Pllc · NPI 1508720517
Chiropractor organization in Paoli, Pennsylvania. Organization record, active in the CMS NPPES registry since December 13, 2025.
## Identity
- **NPI:** 1508720517 (Entity type: Organization)
- **Enumerated:** December 13, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Brandie Keates, CEO
## Practice location
- **Address:** 136 W LANCASTER AVE STE 2, Paoli, PA 19301-1786
- **Phone:** (610) 822-0044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508720517) · Data from the CMS NPPES public registry.