BLOOM PEDIATRIC REHABILITATION
NPI 1679373575
Clinic/Center - Rehabilitation in Royal Oak, MI
About Bloom Pediatric Rehabilitation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM PEDIATRIC REHABILITATION (NPI 1679373575) is a healthcare organization registered as a rehabilitation in Royal Oak, Michigan and active in the NPI registry since March 2025. The organization lists Michaela Buckley, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Pediatric Rehabilitation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Bloom Pediatric Rehabilitation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Pediatric Rehabilitation's NPI number?
The NPI number for Bloom Pediatric Rehabilitation is 1679373575. It was assigned to this organization in the NPPES registry on March 18, 2025.
Where is Bloom Pediatric Rehabilitation located?
Bloom Pediatric Rehabilitation is located at 220 S Main St Ste 120, Royal Oak, MI 48067. The listed phone number is (248) 270-2641.
What is Bloom Pediatric Rehabilitation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Bloom Pediatric Rehabilitation enrolled in Medicare?
Yes. Bloom Pediatric Rehabilitation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Pediatric Rehabilitation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bloom Pediatric Rehabilitation, in Occupational Therapist in Private Practice and Qualified Speech Language Pathologist. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bloom Pediatric Rehabilitation accept?
Health plans from Blue Care Network of Michigan and Priority Health list Bloom Pediatric Rehabilitation 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 Pediatric Rehabilitation was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 Pediatric Rehabilitation · NPI 1679373575
Rehabilitation organization in Royal Oak, Michigan. Organization record, active in the CMS NPPES registry since March 18, 2025.
## Identity
- **NPI:** 1679373575 (Entity type: Organization)
- **Enumerated:** March 18, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Also known as:** Bloom Pediatric Rehabilitation (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michaela Buckley, CO-OWNER
## Practice location
- **Address:** 220 S MAIN ST STE 120, Royal Oak, MI 48067-2678
- **Phone:** (248) 270-2641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Speech Language Pathologist (2), Occupational Therapist in Private Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679373575) · Data from the CMS NPPES public registry.