Samantha M Blankenburg, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61031795 Issued in WA

Practice address

325 S University Rd Ste 101
Spokane Valley, WA 99206-6164

Phone

(509) 921-9798

Fax

(509) 921-9774

NPI assigned

Oct 27, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Youthful Horizons Physical Therapy P S

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1699823898
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1154085942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798",
            "fax_number": "509-921-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798",
            "fax_number": "509-921-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENBURG",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61031795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Blake, D.M.D.
• Thomas Joel Blake, D.D.S., M.S.D.
• Amy Blakeslee
• Ali Kae Blanchette
• Katherine Blanchette, MOTR/L
• Abigail Blankenship
• Molly Jean Blaylock, LMP
• BLC-Park Place, LLC (Park Place)
• Kathy L Bleam, LPN
• Levi Edward Blessum

• Occupational Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.