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General NPI Number Information
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NPI Number | 1720979073
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Entity Type | Organization
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Legal Business Name | ASCENDIA PT AND OT REHABILITATION LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1030 SAINT GEORGES AVE STE LL3
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City | AVENEL
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State | NJ
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Zip | 07001-1330
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Country | US
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Telephone | 908-510-9326
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 SAINT GEORGES AVE STE LL3
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City | AVENEL
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State | NJ
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Zip | 07001-1330
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Country | US
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Telephone | 908-510-9326
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MONA PATEL
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Credential | MOT
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Telephone | 908-510-9326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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