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

Mr. Peter Mark Bloom, MS

Individual provider Physical Therapist · NPI 1780891200

Mr. Peter Mark Bloom, MS is a Physical Therapist in Putnam Valley, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

366 Lake Shore Rd
Putnam Valley, NY 10579-1314
Phone: (914) 220-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 011791 (NY)
Physical Therapist Taxonomy 225100000X · Licence 008016 (NY)

Record details

NPI number1780891200
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address366 Lake Shore Rd, Putnam Valley, NY 10579-1314

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