Active NPI
Lawrence Edward Ham, M.S., P.T.
- Physical Therapist
- Spokane, WA
National Provider Identifier
1083715429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002269
- Practice address
- 3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542 - Phone
- (509) 532-0500
- Fax
- (509) 532-8810
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT00002269 | WA | |
| Physical Therapist | 225100000X | PT00002269 | WA | Primary |
Addresses
Primary practice location
3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542
Mailing address
3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542
Phone (509) 532-0500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009197 | Medicaid | WA | |
| 4531957 | Other | AETNA | |
| 0189664 | Other | WA | DEPT OF LABOR & INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Foot Clinic, P S | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Spokane, WA
- NPI 1811098239
-
- Podiatric Clinic/Center
- Spokane, WA
- NPI 1215012331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1083715429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 S SOUTHEAST BLVD STE G",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992233542",
"telephone_number": "509-532-0500",
"fax_number": "509-532-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 S SOUTHEAST BLVD STE G",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992233542",
"telephone_number": "509-532-0500",
"fax_number": "509-532-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "LAWRENCE",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT00002269",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009197",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4531957",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRY",
"identifier": "0189664",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.