MEDICARE: ASCEND COASTAL PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251G0304X	Geriatric Physical Therapist
2	261QR0400X	Rehabilitation Clinic/Center
3	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1881537884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND COASTAL PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	27 GLEN CV
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-5183
Country	:	US
Telephone Number	:	323-719-7140
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 GLEN CV
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-5183
Country	:	US
Telephone Number	:	323-719-7140
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. TIMOTHY CRAIG SNYDER
Credential	:	PT, DPT
Telephone Number	:	323-719-7140

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	05/10/2026

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