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BLOOM SPEECH & NEURO REHAB, LLC
NPI 1730075474
Clinic/Center - Hearing and Speech in Jenks, OK

Active since June 17, 2025
9422 S ELWOOD AVE STE 100, JENKS, OK 74037(918) 869-6379(918) 627-7896 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bloom Speech & Neuro Rehab, Llc NPPES

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

BLOOM SPEECH & NEURO REHAB, LLC (NPI 1730075474) is a healthcare organization registered as a hearing and speech in Jenks, Oklahoma and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Glenpool and lists Ashlie Nidiffer-tull, Owner And Slp, as its authorized official.

NPPES Registry Identity

NPI1730075474
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameBLOOM SPEECH & NEURO REHAB, LLC
Location Address9422 S ELWOOD AVE STE 100Jenks, OK 74037-2317
Mailing Address9422 S Elwood Ave Ste 100Jenks, OK 74037-2317 · (918) 869-6379 · Fax (918) 627-7896
Phone(918) 869-6379
Fax(918) 627-7896
Organization SubpartNo
Authorized OfficialAshlie Nidiffer-tullOwner And Slp · (918) 869-6379
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1730075474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
9422 S ELWOOD AVE STE 100, Jenks, OK 74037
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Secondary Practice Location 1

Location 113400 S Maple StGlenpool, OK 74033-2310 · Phone (918) 869-6379

Other Providers at the Same Location NPPES

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

ASHLIE WHITTEN SLP
Speech-Language Pathologist
9422 S ELWOOD AVE STE 100
JENKS, OK 74037
Tulsa County (918) 869-6379

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 Speech & Neuro Rehab, LLC's NPI number?

The NPI number for Bloom Speech & Neuro Rehab, LLC is 1730075474. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Bloom Speech & Neuro Rehab, LLC located?

Bloom Speech & Neuro Rehab, LLC is located at 9422 S Elwood Ave Ste 100, Jenks, OK 74037. The listed phone number is (918) 869-6379.

What is Bloom Speech & Neuro Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

When was this NPI record last updated?

The NPPES record for Bloom Speech & Neuro Rehab, LLC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.