Provider Demographics
NPI:1275106270
Name:ASCENT TOTAL PERFORMANCE, LLC
Entity Type:Organization
Organization Name:ASCENT TOTAL PERFORMANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WEATHERS
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:803-851-3506
Mailing Address - Street 1:2829 MILLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-1261
Mailing Address - Country:US
Mailing Address - Phone:803-851-3506
Mailing Address - Fax:803-619-9551
Practice Address - Street 1:2829 MILLWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1261
Practice Address - Country:US
Practice Address - Phone:803-851-3506
Practice Address - Fax:803-619-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty