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

Ernest Randy Bloom, PTA

Individual provider Physical Therapy Assistant · NPI 1366561011

Ernest Randy Bloom, PTA is a Physical Therapy Assistant in Augusta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and Pennsylvania.

Licensed in
GA, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1930 Highland Ave Ste A
Augusta, GA 30904-7803
Phone: (706) 481-9105
Fax: (706) 481-9107
Show map & directions

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

Additional practice locations (1)

  • 659 Main St, Thomson, GA 30824-7456 — (706) 597-1190

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA002060 (GA)
Physical Therapy Assistant Taxonomy 225200000X · Licence TE007060 (PA)

Record details

NPI number1366561011
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 21, 2022
Mailing address1930 Highland Ave Ste A, Augusta, GA 30904-7803

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