Benjamin Bloom

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.PT.70037850 Issued in WA

Practice address

17525 Pacific Hwy
Suite C
Lynwood, WA 98037

Phone

(425) 409-0218

NPI assigned

Nov 19, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Rehabilitation PLLC

  dba Summit Rehab

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Summit Rehabilitation PLLC

  dba Summit Rehabilitation

  • Physical Therapy Clinic/Center
  • Lake Stevens, WA
  • NPI 1013648153
  NPD
• Summit Rehabilitation PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1760374771
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1093676157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17120 15TH AVE NE APT 201N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 PACIFIC HWY",
            "address_2": "SUITE C",
            "city": "LYNWOOD",
            "state": "WA",
            "postal_code": "98037",
            "telephone_number": "425-409-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.70037850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanen Alyasiri
• Robin J Atkinson, DO
• Bembenek Travel Health Washington, PC (Passport Health)
• City of Lynnwood (Lynnwood Community Justice Center)
• Nicole Marie Conlon, PH.D.
• Amy May Derksen, N.D.
• Evergreen Recovery Centers-Health Services
• Hidayet Taha Karapinar, DC

• Physical Therapist in Lynwood, WA
• Providers in Lynwood, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.