Benjamin Bloom, is a medicare enrolled "Physical Therapist" provider in Lynwood, Washington. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Summit Rehabilitation Pllc and his current practice location is
17525 Pacific Hwy, Suite C, Lynwood, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 409-0218.
Benjamin Bloom is licensed to practice in Washington (license number PT.PT.70037850) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093676157.
Healthcare Provider's Profile
| Full Name | Benjamin Bloom |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 17525 Pacific Hwy, Lynwood, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Benjamin Bloom graduated from medical school in 2025
NPI Data:
- NPI Number: 1093676157
- Provider Enumeration Date: 11/19/2025
- Last Update Date: 11/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163916834
- Enrollment ID: I20251210001709
Medical Identifiers
Medical identifiers for Benjamin Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093676157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PT.PT.70037850 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Summit Rehabilitation Pllc | 9133012362 | 54 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Bloom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Benjamin Bloom, 17120 15th Ave Ne Apt 201n, Shoreline, WA 98155-5139 Ph: () - | Benjamin Bloom, 17525 Pacific Hwy, Suite C, Lynwood, WA 98037 Ph: (425) 409-0218 |
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