Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Fardin Jazbani, DPT

Individual provider Physical Therapist · NPI 1861109100

Andrew Fardin Jazbani, DPT is a Physical Therapist in Private Practice in Lakewood, Washington. Qualified in 2022, 4 years ago. Practices with Washington Luna Care Physical Therapy LLC, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Washington.

Years since qualifying
4
Licensed in
MO, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5605 100th St SW Ste B
Lakewood, WA 98499-2710
Phone: (253) 284-9800
Fax: (253) 284-9801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15425 Manchester Rd Ste 28, Ballwin, MO 63011-3077 — (636) 220-6969

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WA)
Physical Therapist Taxonomy 225100000X · Licence 2022043936 (MO)

Record details

NPI number1861109100
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 4, 2022
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Washington Luna Care Physical Therapy Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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