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

Benjamin Bloom

Individual provider Physical Therapist · NPI 1093676157

Benjamin Bloom is a Physical Therapist in Private Practice in Lynwood, Washington. Qualified in 2025, 1 year ago. Practices with Summit Rehabilitation PLLC, a 54-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2025

Practice location Address checks out

17525 Pacific Hwy Ste C
Lynwood, WA 98037
Phone: (425) 409-0218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT.PT.70037850 (WA)

Record details

NPI number1093676157
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 6, 2025
Mailing address17120 15th Ave Ne Apt 201n, Shoreline, WA 98155-5139

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Summit Rehabilitation Pllc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount