NPIMap

Organization Active NPI

Ascent Rehabilitation PLLC

Doing business as Ascent Rehabilitation

  • Physical Therapist
  • Flagstaff, AZ
National Provider Identifier
1699546895
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ASCENT REHABILITATION PLLC
Doing business as
Ascent Rehabilitation
Practice address
123 W Birch Ave Ste 100
Flagstaff, AZ 86001-4508
Phone
(563) 370-8616
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Carter Stark, PT, DPTNPI 1083224521
Title
Owner, Physical Therapist
Phone
(563) 370-8616

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 Primary

Addresses

Primary practice location

123 W Birch Ave Ste 100
Flagstaff, AZ 86001-4508

Mailing address

3465 E Linda Vista Dr
Flagstaff, AZ 86004-2229

Other names 1

  • Ascent Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509004179 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042651804 Receives reassigned benefits from 3 practitioners
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Locations

123 W Birch Ave
Ste 100
Flagstaff, AZ 86001
Phone (928) 216-3078

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1699546895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 E LINDA VISTA DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W BIRCH AVE STE 100",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014508",
            "telephone_number": "563-370-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENT REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "CARTER",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "563-370-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.