Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ryan Bloom, DPT

Individual provider Physical Therapist · NPI 1861396095

Ryan Bloom, DPT is a Physical Therapist in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

700 Weber Rd
O Fallon, IL 62269-2248
Phone: (618) 795-0804
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.041029 (IL)

Record details

NPI number1861396095
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 2, 2026
Last updated in NPPESOctober 2, 2026
Certification dateOctober 2, 2026

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