Healthcare Provider Details

I. General information

NPI: 1336890839
Provider Name (Legal Business Name): ASCENT PHYSICAL THERAPY AND PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2022
Last Update Date: 01/16/2022
Certification Date: 01/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 LARK LN
CHATTANOOGA TN
37415-1902
US

IV. Provider business mailing address

404 LARK LN
CHATTANOOGA TN
37415-1902
US

V. Phone/Fax

Practice location:
  • Phone: 971-340-8311
  • Fax:
Mailing address:
  • Phone: 971-340-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER RAJAN MERCHANT
Title or Position: OWNER/ PHYSICAL THERAPIST
Credential: PT, DPT, OCS
Phone: 971-340-8311