Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery L Bonnema, DPT

Individual provider Physical Therapist · NPI 1164034393

Avery L Bonnema, DPT is a Physical Medicine and Rehabilitation in Spokane, Washington. Graduated from University of Vermont College of Medicine in 2015, 11 years ago. Practices with Lake City Physical Therapy P A, a 13-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
11
Trained at
University of Vermont College of Medicine
Licensed in
WA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3009 S Grand Blvd
Spokane, WA 99203-2559
Phone: (509) 868-0849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61061445 (WA)

Record details

NPI number1164034393
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 19, 2020
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Lake City Physical Therapy P A — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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