Healthcare Provider Details

I. General information

NPI: 1407636574
Provider Name (Legal Business Name): ASCEND PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 E MISSION AVE STE D
SPOKANE VALLEY WA
99206-4832
US

IV. Provider business mailing address

12121 E MISSION AVE STE D
SPOKANE VALLEY WA
99206-4832
US

V. Phone/Fax

Practice location:
  • Phone: 509-720-7077
  • Fax: 509-219-0396
Mailing address:
  • Phone: 509-720-7077
  • Fax: 509-219-0396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SIMMONS
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 509-263-9809