Provider Demographics
NPI:1255844759
Name:ASCEND PHYSICAL THERAPY INCORPORATED
Entity Type:Organization
Organization Name:ASCEND PHYSICAL THERAPY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NUHA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:708-778-3445
Mailing Address - Street 1:8316 BROMLEY ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2871
Mailing Address - Country:US
Mailing Address - Phone:708-268-6842
Mailing Address - Fax:708-778-3478
Practice Address - Street 1:15752 S LA GRANGE RD STE 15
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4766
Practice Address - Country:US
Practice Address - Phone:708-778-3445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy