Provider Demographics
NPI:1902280845
Name:ASCEND PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:ASCEND PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:425-647-1966
Mailing Address - Street 1:610 MARKET ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5451
Mailing Address - Country:US
Mailing Address - Phone:425-647-1966
Mailing Address - Fax:425-968-1504
Practice Address - Street 1:610 MARKET ST
Practice Address - Street 2:SUITE 202
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5451
Practice Address - Country:US
Practice Address - Phone:425-647-1966
Practice Address - Fax:425-968-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002436225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty