Healthcare Provider Details

I. General information

NPI: 1740198381
Provider Name (Legal Business Name): ACE PHYSICAL THERAPY SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2856 SANTA BARBARA AVE
LOS OLIVOS CA
93441-4557
US

IV. Provider business mailing address

PO BOX 165
LOS OLIVOS CA
93441-0165
US

V. Phone/Fax

Practice location:
  • Phone: 432-413-2192
  • Fax: 805-697-0010
Mailing address:
  • Phone: 432-413-2192
  • Fax: 805-697-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHASE CAMPBELL VAN CLEAVE
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 432-413-2192