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

Ellen B Bloom

Individual provider Physical Therapist · NPI 1114418902

Ellen B Bloom is a Physical Therapist in Mansfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

50 Blymyer Ave
Mansfield, OH 44903-2343
Phone: (419) 774-5100
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3727 (OH)

Record details

NPI number1114418902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2018
Last updated in NPPESMay 29, 2018
Mailing address8751 Whippoorwill Rd, Diamond, OH 44412-9708

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