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THEA M BLOM PT
NPI 1619109295
Physical Therapist - Hand in Grand Rapids, MI

Active since August 17, 2009
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525(616) 459-7101 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thea M Blom Pt NPPES

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

THEA M BLOM PT (NPI 1619109295) is an individual hand provider in Grand Rapids, Michigan, licensed in Michigan (5501002432) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1619109295
Entity TypeIndividualFemale
Primary Taxonomy2251H1200X
Provider Legal NameTHEA M BLOMCredential: PT
Location Address1111 LEFFINGWELL AVE NE, SUITE 200Grand Rapids, MI 49525-6406
Mailing Address1111 Leffingwell Ave Ne, Suite 200Grand Rapids, MI 49525-6406 · (616) 459-7101
Phone(616) 459-7101
Sole ProprietorYes
Enumeration DateAugust 17, 2009
Last NPPES UpdateSeptember 9, 2013
✔ NPI 1619109295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251H1200X
License✔ Licensed in MI · 5501002432
1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525
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Other Providers at the Same Location NPPES 20

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

JUSTIN MICHAEL MILLER PA
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
DR. CHARLES D BUKREY MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
LAURA L BUCKS OT
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
KURT THOMAS GEFFKEN MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
SCOTT DAVID BURGESS MD
Orthopaedic Surgery (Hand Surgery)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
KELLY J NYE OT
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
JOSEPH N PIGORSH PAC
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE, STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101

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 Thea Blom's NPI number?

The NPI number for Thea Blom is 1619109295. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Where is Thea Blom located?

Thea Blom practices at 1111 Leffingwell Ave NE Suite 200, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Thea Blom's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Hand, with taxonomy code 2251H1200X.

When was this NPI record last updated?

The NPPES record for Thea Blom was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.