NPIMap

Organization Active NPI

Larry Ham and Associates Physical Therapy PS

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1811098239
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LARRY HAM AND ASSOCIATES PHYSICAL THERAPY PS
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Blondel C AssonkenNPI 1710979661
Title
President
Phone
(509) 532-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT00002269 WA

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 4

IdentifierTypeStateIssuer
603015800OtherUS DEPT OF LABOR
0189665OtherWADEPT OF LABOR & INDUSTRY
7807634OtherAETNA
2009200MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000243 WA Part B Supplier - Clinic/Group Practice 7618921016 Receives reassigned benefits from 5 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

3010 S Southeast Blvd
Ste G
Spokane, WA 99223
Phone (509) 532-0500

3151 E 29th Ave
Spokane, WA 99223
Phone (509) 532-0500

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1811098239",
    "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": {
        "organization_name": "LARRY HAM AND ASSOCIATES PHYSICAL THERAPY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "ASSONKEN",
        "authorized_official_first_name": "BLONDEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-532-0500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00002269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "603015800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRY",
            "identifier": "0189665",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7807634",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009200",
            "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 Jun 9, 2026; 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.

Verify at the official NPI Registry.