Organization Active NPI

Ascend Physical Therapy, Inc

  • Physical Therapist
  • Corona, CA
National Provider Identifier
1952414823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13283 Issued in CA
Legal business name
ASCEND PHYSICAL THERAPY, INC
Practice address
1113 S Main St
Suite a
Corona, CA 92882-4412
Phone
(951) 737-1965
Fax
(951) 737-1862
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jim Granado
Title
President
Phone
(951) 737-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT13283 CA Primary

Addresses

Primary practice location

1113 S Main St
Suite a
Corona, CA 92882-4412

Mailing address

1113 S Main St
Suite a
Corona, CA 92882-4412
Phone (951) 737-1965

National Provider Directory

National Provider Directory

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952414823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824412",
            "telephone_number": "951-737-1965",
            "fax_number": "951-737-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MAIN ST",
            "address_2": "SUITE A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824412",
            "telephone_number": "951-737-1965",
            "fax_number": "951-737-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANADO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-737-1965"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.