1841907847 NPI number — BLOOMING PEDIATRIC THERAPY, PLLC

Table of content: RIDDHI DIPAK PATEL PT, DPT (NPI 1598439341)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841907847 NPI number — BLOOMING PEDIATRIC THERAPY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLOOMING PEDIATRIC THERAPY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841907847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNNWOOD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98046-0135
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-292-2208
Provider Business Mailing Address Fax Number:
425-364-4135

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6817 208TH ST SW UNIT 135
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNNWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98046-4606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-292-2208
Provider Business Practice Location Address Fax Number:
425-364-4135
Provider Enumeration Date:
10/31/2022

Additional Information

Authorized Official

Authorized Official Last Name:
LIU
Authorized Official First Name:
YULING
Authorized Official Middle Name:
Authorized Official Title or Position:
OCCUPATIONAL THERAPIST
Authorized Official Telephone Number:
425-292-2208

Provider Taxonomy Codes

  • Taxonomy code: 225XP0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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