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General NPI Number Information
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NPI Number | 1730825365
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Entity Type | Organization
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Legal Business Name | ASCEND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 11660 ALPHARETTA HWY STE 305
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City | ROSWELL
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State | GA
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Zip | 30076-3877
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Country | US
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Telephone | 470-715-0571
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Fax |
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Provider Business Mailing Address
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Address Line | 11660 ALPHARETTA HWY STE 305
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City | ROSWELL
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State | GA
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Zip | 30076-3877
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Country | US
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Telephone | 470-715-0571
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER CICINELLI
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Credential | PT, DPT
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Telephone | 989-284-7180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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