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

Kelly J Vander Bloomen, PT

Individual provider Physical Therapist · NPI 1902112469

Kelly J Vander Bloomen, PT is a Physical Therapist in Tampa, Florida. Licensed in Arizona, California, Florida and Texas and 1 more. Registered with an NPI since 2010.

Licensed in
AZ, CA, FL, TX, WI
In the registry since
2010
Specialties on file
5
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4107 N Himes Ave Ste 100
Tampa, FL 33607-6645
Phone: (813) 874-1009
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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 38019 (FL)
Physical Therapist Taxonomy 225100000X · Licence 11510 (WI)
Physical Therapist Taxonomy 225100000X · Licence 9316 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 43565 (CA)
Physical Therapist Taxonomy 225100000X · Licence 1217489 (TX)

Record details

NPI number1902112469
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 23, 2010
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

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