Ambition Physical Therapy and Fitness, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AMBITION PHYSICAL THERAPY AND FITNESS, PLLC

Practice address

3209 N Argonne Rd
Millwood, WA 99212-2061

Phone

(509) 999-7290

Fax

(509) 290-5246

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jami Bean, DPTNPI 1841499167

Title

Physical Therapist/Owner

Phone

(509) 999-7290

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jami Lee Bean, DPT

  • Physical Therapist
  • Spokane, WA
  • NPI 1841499167
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1356052062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 E PRINCETON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992064462",
            "telephone_number": "509-999-7290",
            "fax_number": "509-290-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 N ARGONNE RD",
            "city": "MILLWOOD",
            "state": "WA",
            "postal_code": "992122061",
            "telephone_number": "509-999-7290",
            "fax_number": "509-290-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBITION PHYSICAL THERAPY AND FITNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "509-999-7290",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841499167",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "3209 N Argonne Rd",
            "city": "Millwood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992122061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Breneman, PHARMD
• Debra K Campbell, RPH
• Melissa L Dailey, PHARMD
• Danu Therapy, PS
• John Fairbanks

• Physical Therapist in Millwood, WA
• Providers in Millwood, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.