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

Shanna M Bloomgren, PTA

Individual provider Physical Therapy Assistant · NPI 1689452534

Shanna M Bloomgren, PTA is a Physical Therapy Assistant in Wexford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12680 Perry Hwy Ste 105
Wexford, PA 15090-8887
Phone: (724) 720-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE013143 (PA)

Record details

NPI number1689452534
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address12680 Perry Hwy Ste 105, Wexford, PA 15090-8887

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