JACK MICHAEL BLOOM DPT
NPI 1679492052
Physical Therapist in Republic, WA
NPI Status: Active since July 10, 2026
Contact Information
10 ROS CIR
REPUBLIC, WA
ZIP 99166
Phone: (509) 775-8400
This NPI profile has been added to the NPI registry within the last 30 days.
- Individual
- Male
- Physical Therapist
About JACK BLOOM
This page provides the complete NPI Profile along with additional information for Jack Bloom, a provider established in Republic, Washington with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1679492052 assigned on July 2026. The practitioner's primary taxonomy code is 225100000X with license number 11-08197 (KS). The provider is registered as an individual and his NPI record was last updated July 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1679492052
- Provider Name
- JACK MICHAEL BLOOM DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10 ROS CIR REPUBLIC, WA 99166
- Location Phone
- (509) 775-8400
- Mailing Address
- 730 HOCKADAY ST COUNCIL GROVE, KS 66846
- Mailing Phone
- (208) 691-7797
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-10-2026
- Last Update Date
- 07-10-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 11-08197
- License State
- KS
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679492052, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679492052, enumerated as an "individual" on July 10, 2026.
The provider is located at 10 ROS CIR REPUBLIC, WA 99166 and the phone number is (509) 775-8400.
Physical Therapist with taxonomy code 225100000X.
