Individual provider · Type 1 NPI
Peter Mark Bloom, M.S.
Massage Therapist · Putnam Valley, NY
NPI number
1780891200
Active
Practice location
366 Lake Shore Rd
Putnam Valley, NY 10579-1314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 008016 (NY) |
| Massage Therapist Primary | 225700000X | 011791 (NY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1780891200
Peter Mark Bloom, M.S.'s National Provider Identifier is 1780891200, issued on May 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Putnam Valley, NY. The record was last updated on Sep 11, 2025.