MEDICARE: ASCEND PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1407636574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	1509 W ALICE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-2713
Country	:	US
Telephone Number	:	509-263-9809
Fax Number	:

Provider Business Practice Location Address
First Line	:	7512 N DIVISION ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-5668
Country	:	US
Telephone Number	:	509-903-9358
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	AMANDA SIMMONS
Credential	:	DPT
Telephone Number	:	509-263-9809

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	01/14/2026

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