Healthcare Provider Details

I. General information

NPI: 1194673012
Provider Name (Legal Business Name): CHCC THERAPY DBA ASCENDRA THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 SHIELDS RD
CANFIELD OH
44406-9814
US

IV. Provider business mailing address

5741 SHIELDS RD
CANFIELD OH
44406-9814
US

V. Phone/Fax

Practice location:
  • Phone: 330-533-9757
  • Fax:
Mailing address:
  • Phone: 330-533-9757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LISA CHAMBERS
Title or Position: PRESIDENT
Credential: MS. SLP
Phone: 304-639-5332