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Addisyn Samuelson , LAT, ATC

Specialist/Technologist - Athletic Trainer β€’ Spokane, WA

Active NPI 1508590019 Individual Practitioner Female Practitioner
Practice location in NPPES

911 W 5th Ave
Spokane, WA 992042901

Call 5094557844 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

911 W 5th Ave

Spokane, WA 992042901

Telephone 5094557844
Organization at the Same NPPES Address or Phone
Shriners Hospitals For Children Facility NPI 1992848857

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Spokane and Washington

68 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Spokane, WA (820 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane

0% of these 68 clinicians have the CMS telehealth indicator.

0% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-10
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Kelly Bartleson , PT

Physical Therapist

NPI 1275535098

Physical Therapist

Carey Hintze

Physical Therapist

NPI 1750631834
Dr. Kaitlyn Minahan , DPT

Physical Therapist

NPI 1396396602

Doctor of Physical Therapy

NPI 1902245657

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 10, 2025

Registered at 911 W 5TH AVE, SPOKANE, WA 992042901 (Tel: 5094557844)

πŸ“
Updated Business Mailing Address October 10, 2025

Registered at 911 W 5TH AVE, SPOKANE, WA 992042901

πŸ‘€
Provider Name / Credentials Updated October 10, 2025

Recorded as ADDISYN SAMUELSON, LAT, ATC

βœ…
NPI Profile Active July 11, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 11, 2022

Registered at 300 W HAWTHORNE RD, SPOKANE, WA 992182515 (Tel: 5097771000)

πŸ“
Business Mailing Address (Initial Record) July 11, 2022

Registered at 300 W HAWTHORNE RD, SPOKANE, WA 992182515

πŸ‘€
Provider Name / Credentials (Initial Record) July 11, 2022

Recorded as ADDISYN SAMUELSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2022

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration July 11, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508590019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2022
Last Update: October 10, 2025
Sole Proprietor: No

Mailing Address

911 W 5th Ave

Spokane, WA 992042901

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.