Provider Demographics
NPI:1154115103
Name:ASCENT PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:ASCENT PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/ DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:URVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-525-6003
Mailing Address - Street 1:43611 ALDIE MILL CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-1990
Mailing Address - Country:US
Mailing Address - Phone:415-525-6003
Mailing Address - Fax:
Practice Address - Street 1:43611 ALDIE MILL CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-1990
Practice Address - Country:US
Practice Address - Phone:415-525-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic