Healthcare Provider Details
I. General information
NPI: 1396682233
Provider Name (Legal Business Name): ASCEND PHYSICAL THERAPY AND REHAB PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 RED FOX RD
FREEHOLD NJ
07728-8165
US
IV. Provider business mailing address
50 RED FOX RD
FREEHOLD NJ
07728-8165
US
V. Phone/Fax
- Phone: 917-470-5639
- Fax:
- Phone: 917-470-5639
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROVY
SAMSON
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 917-470-5639