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

Ernest Randy Bloom, PTA

Individual provider Physical Therapy Assistant · NPI 1366561011

Ernest Randy Bloom, PTA is a Physical Therapy Assistant in Augusta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and Pennsylvania.

Licensed in
GA, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1930 Highland Ave Ste A
Augusta, GA 30904-7803
Phone: (706) 481-9105
Fax: (706) 481-9107
Show map & directions

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

Additional practice locations (1)

  • 659 Main St, Thomson, GA 30824-7456 — (706) 597-1190

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA002060 (GA)
Physical Therapy Assistant Taxonomy 225200000X · Licence TE007060 (PA)

Record details

NPI number1366561011
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 21, 2022

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