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Deactivated NPI 1497940639 Deactivated / Inactive NPI Female Practitioner

Thea Ilene Bloom , SLP

Speech-Language Pathologist • San Antonio, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thea Bloom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2007
NPI Deactivation Date December 07, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Thea Bloom, SLP was a registered Speech-Language Pathologist practicing in San Antonio, TX. Throughout an active medical career spanning 11 years, Thea Bloom provided care at the practice location at 13170 HUNTERS BRK until profile deactivation on 2018-12-07.

Practice Location & Contact Primary Location

Practice Address

13170 Hunters Brk

San Antonio, TX 782302007

Telephone 2104928214

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1198 Specialists

Practicing in San Antonio, TX (17210 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 10798

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 07, 2018

Record deactivated on December 07, 2018

NPI Profile Active September 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2007

Registered at 13170 HUNTERS BRK, SAN ANTONIO, TX 782302007 (Tel: 2104928214)

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Updated Business Mailing Address September 11, 2007

Registered at 13170 HUNTERS BRK, SAN ANTONIO, TX 782302007 (Tel: 2104928214)

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Provider Name / Credentials Updated September 11, 2007

Recorded as THEA BLOOM, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2007

Speech-Language Pathologist (License #10798 in TX)

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Initial NPI Registration & Enumeration September 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497940639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2007
Last Update: September 11, 2007
Deactivation Date: December 07, 2018

Mailing Address

13170 Hunters Brk

San Antonio, TX 782302007

Phone: 2104928214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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