NPIMap

Organization Active NPI

Ascanio Physical Therapy

  • Physical Therapy Clinic/Center
  • Cornelius, NC
National Provider Identifier
1679148787
Registry record updated Jun 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ASCANIO PHYSICAL THERAPY
Practice address
19607 W Catawba Ave Ste 102
Cornelius, NC 28031-4042
Phone
(704) 625-6191
Fax
(705) 896-8075
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2021

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

Authorized official

Name
Yordan Ascanio, PTNPI 1245669308
Title
Owner
Phone
(704) 495-1097

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

19607 W Catawba Ave Ste 102
Cornelius, NC 28031-4042

Mailing address

19607 W Catawba Ave Ste 102
Cornelius, NC 28031-4042
Phone (704) 625-6191

Other names 1

  • Healthy Body Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210624001910 NC Part B Supplier - Clinic/Group Practice 7416358767 Receives reassigned benefits from 3 practitioners
Practice locations: Cornelius, NC

National Provider Directory

National Provider Directory

Locations

19607 W Catawba Ave
#2
Cornelius, NC 28031

19607 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (704) 625-6191

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622937600000",
    "number": "1679148787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19607 W CATAWBA AVE STE 102",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314042",
            "telephone_number": "704-625-6191",
            "fax_number": "705-896-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19607 W CATAWBA AVE STE 102",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314042",
            "telephone_number": "704-625-6191",
            "fax_number": "705-896-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCANIO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A",
        "authorized_official_last_name": "ASCANIO",
        "authorized_official_first_name": "YORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-495-1097",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.