Provider Demographics
NPI:1740877315
Name:ASCENSION PHYSIOTHERAPY LLC
Entity type:Organization
Organization Name:ASCENSION PHYSIOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:BROCK
Authorized Official - Last Name:SIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:614-961-0223
Mailing Address - Street 1:5195 ASHTREE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1697
Mailing Address - Country:US
Mailing Address - Phone:614-961-0223
Mailing Address - Fax:
Practice Address - Street 1:8938 BECKETT RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2939
Practice Address - Country:US
Practice Address - Phone:614-961-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083160451OtherANTHEM, MEDICAL MUTUAL, UHC, ETC.