Organization Active NPI

Ascend Physical Therapy Incorporated

  • Physical Therapy Clinic/Center
  • Orland Park, IL
National Provider Identifier
1255844759
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ASCEND PHYSICAL THERAPY INCORPORATED
Practice address
15752 S la Grange Rd Ste 15
Orland Park, IL 60462-4766
Phone
(708) 778-3445
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nuha Y Hasan, DPTNPI 1972820306
Title
Physical Therapist/Owner
Phone
(708) 778-3445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

15752 S la Grange Rd Ste 15
Orland Park, IL 60462-4766

Mailing address

8316 Bromley St
Orland Park, IL 60462-2871
Phone (708) 268-6842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190308002271 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385983352 Receives reassigned benefits from 1 practitioner
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Locations

15752 S La Grange Rd
Orland Park, IL 60462
Phone (708) 268-6842

15752 S La Grange Rd
Ste 15
Orland Park, IL 60462
Phone (708) 268-6842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1255844759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 BROMLEY ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622871",
            "telephone_number": "708-268-6842",
            "fax_number": "708-778-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15752 S LA GRANGE RD STE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "telephone_number": "708-778-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND PHYSICAL THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NUHA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "708-778-3445",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.