Provider Demographics
NPI:1326777111
Name:ASCENT PHYSICAL THERAPY & WELLNESS LLC
Entity Type:Organization
Organization Name:ASCENT PHYSICAL THERAPY & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:SZWANDRAK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-892-8143
Mailing Address - Street 1:44 SHIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1378
Mailing Address - Country:US
Mailing Address - Phone:908-892-8143
Mailing Address - Fax:
Practice Address - Street 1:3 WALTER E FORAN BLVD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-0882
Practice Address - Country:US
Practice Address - Phone:908-892-8143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy