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	:	12121 E MISSION AVE STE D
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-4832
Country	:	US
Telephone Number	:	509-720-7077
Fax Number	:	509-219-0396

Provider Business Practice Location Address
First Line	:	12121 E MISSION AVE STE D
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-4832
Country	:	US
Telephone Number	:	509-720-7077
Fax Number	:	509-219-0396

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	:	06/18/2026

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Directions to “ASCEND PHYSICAL THERAPY, LLC ” Practice Location

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