Blondel C Assonken, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009860 Issued in WA

Practice address

3010 S Southeast Blvd Ste G
Spokane, WA 99223-3542

Phone

(509) 532-0500

Fax

(509) 532-8810

NPI assigned

Aug 17, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larry Ham and Associates Physical Therapy PSGroup PAC ID 7618921016, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Larry Ham and Associates Physical Therapy PS

  • Physical Therapist
  • Spokane, WA
  • NPI 1811098239
  Medicare reassignment Care Compare group Authorized official
• Spokane Foot Clinic, P S

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1215012331
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1710979661",
    "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": "ASSONKEN",
        "first_name": "BLONDEL",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0321815",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022526",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Lee Asseln, LICSWA
• Assisted Living Concepts Inc (Windriver House)
• Assisted Living Concepts Inc (Mission Ridge Assisted Living)
• Associated Dentist
• Associates for Women's Health
• Tracy Ray Astleford, MSN PMHNP-BC
• At Parr Outpatient Services, LLC
• At Parr Outpatient Services, LLC
• At Your Service Premier Service LLC (A.Y.S. Premier Services LLC)
• John Jeffery Atabelo, LICSW

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

• 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.
• 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.