Provider Demographics
NPI:1932784626
Name:ASCEND PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:ASCEND PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVICK-LOVGREN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:412-559-8021
Mailing Address - Street 1:706 EKASTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-9751
Mailing Address - Country:US
Mailing Address - Phone:724-524-1557
Mailing Address - Fax:724-524-1570
Practice Address - Street 1:706 EKASTOWN RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9751
Practice Address - Country:US
Practice Address - Phone:724-524-1557
Practice Address - Fax:724-524-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-14
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty