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

Eric James Bloom, DPT

Individual provider Physical Therapist · NPI 1730480666

Eric James Bloom, DPT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2010, 16 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3035 S Ellsworth Rd Bldg 4 Ste 128
Mesa, AZ 85212-2160
Phone: (480) 357-6500
Fax: (480) 357-6515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8969 (AZ)

Record details

NPI number1730480666
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 9, 2010
Last updated in NPPESMarch 4, 2015
Mailing address3035 S Ellsworth Rd, Building 4, Suite 128, Mesa, AZ 85212-2160

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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