Healthcare Provider Details

I. General information

NPI: 1669399549
Provider Name (Legal Business Name): ASCEND THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11720 N COUNTY ROAD 17
FORT COLLINS CO
80524-8788
US

IV. Provider business mailing address

11720 N COUNTY ROAD 17
FORT COLLINS CO
80524-8788
US

V. Phone/Fax

Practice location:
  • Phone: 970-203-4402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MACIE BICANDI
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTD
Phone: 970-203-4402