BLOOM PEDIATRIC THERAPY LLC
NPI 1619674124
Behavior Analyst in Griffin, GA

Q: What is Bloom Pediatric Therapy LLC's NPI number?

The NPI number for Bloom Pediatric Therapy LLC is 1619674124. It was assigned to this organization in the NPPES registry on February 14, 2023.

Q: What is Bloom Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since February 14, 2023

14557 HIGHWAY 19 STE C, GRIFFIN, GA 30224(678) 967-1924 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2026, Feb 20, 2023, Feb 14, 2023 (3 updates tracked since 2023).

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About Bloom Pediatric Therapy Llc NPPES

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

BLOOM PEDIATRIC THERAPY LLC (NPI 1619674124) is a healthcare organization registered as a behavior analyst in Griffin, Georgia and active in the NPI registry since February 2023. The organization lists Kelli Hurd, President, as its authorized official.

NPPES Registry Identity

NPI1619674124

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameBLOOM PEDIATRIC THERAPY LLC

Location Address14557 HIGHWAY 19 STE CGriffin, GA 30224-9582

Mailing Address136 Main StMilner, GA 30257-3844 · (678) 967-1924

Phone(678) 967-1924

Organization SubpartNo

Authorized OfficialKelli HurdPresident · (678) 967-1924

Enumeration DateFebruary 14, 2023

Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1619674124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

14557 HIGHWAY 19 STE C, Griffin, GA 30224

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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

Other Providers at the Same Location NPPES 3

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

MRS. PATRICIA ELAINE BLEVINS CCC-SLP

Speech-Language Pathologist

14557 HIGHWAY 19 STE C
GRIFFIN, GA 30224

Spalding County (770) 468-6941

MADELINE WYNNE PRIEST COTA/L

Occupational Therapy Assistant

14557 HIGHWAY 19 STE C
GRIFFIN, GA 30224

Spalding County (770) 468-6941

SARAH ELDRIDGE OTR/L

Occupational Therapist

14557 HIGHWAY 19 STE C
GRIFFIN, GA 30224

Spalding County (770) 468-6941

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 Pediatric Therapy LLC's NPI number?

The NPI number for Bloom Pediatric Therapy LLC is 1619674124. It was assigned to this organization in the NPPES registry on February 14, 2023.

Where is Bloom Pediatric Therapy LLC located?

Bloom Pediatric Therapy LLC is located at 14557 Highway 19 Ste C, Griffin, GA 30224. The listed phone number is (678) 967-1924.

What is Bloom Pediatric Therapy LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Bloom Pediatric Therapy LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.