Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Children's Therapy

Organization Pediatric Physical Therapist · NPI 1497159446

Bloom Children's Therapy is a Pediatric Physical Therapist in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

85C Vincent Dr
Mt Pleasant, SC 29464
Phone: (843) 425-7963
Fax: (888) 588-3421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 3326 (SC)
Pediatric Physical Therapist Taxonomy 2251P0200X

Record details

NPI number1497159446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Larose — Owner · (843) 425-7963
Other names Nicole Larose, Llc
NPI enumeratedOctober 20, 2014
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing addressBloom Children'S Therapy, 1154 Elizabeth Ct., Mt Pleasant, SC 29464

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