Organization Active NPI

Ascend Physical Therapy & Wellness Inc.

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1417370339
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205476 Issued in VA
Legal business name
ASCEND PHYSICAL THERAPY & WELLNESS INC.
Practice address
303 Maple Ave W
Suite F
Vienna, VA 22180-4312
Phone
(703) 272-8801
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Nancy M. McMahon, PTNPI 1265671267
Title
President
Phone
(703) 304-4427

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2305205476 VA Primary

Addresses

Primary practice location

303 Maple Ave W
Suite F
Vienna, VA 22180-4312

Mailing address

303 Maple Ave W
Suite F
Vienna, VA 22180-4312
Phone (703) 272-8801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150911000837 DC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587880356 Receives reassigned benefits from 6 practitioners
Practice locations: Annandale, VA; Vienna, VA

National Provider Directory

National Provider Directory

Locations

307 Maple Ave W
Ste D
Vienna, VA 22180
Phone (703) 272-8801

303 Maple Ave W
Ste F
Vienna, VA 22180
Phone (703) 272-8801

Practitioners & affiliated clinicians

Practitioners 7

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": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1417370339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MAPLE AVE W",
            "address_2": "SUITE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804312",
            "telephone_number": "703-272-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAPLE AVE W",
            "address_2": "SUITE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804312",
            "telephone_number": "703-272-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND PHYSICAL THERAPY & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-304-4427",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.