Provider Demographics
NPI:1447082946
Name:ASCEND MOBILITY AND REHABILITATION
Entity type:Organization
Organization Name:ASCEND MOBILITY AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EZRA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SAUTER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:612-747-9937
Mailing Address - Street 1:4723 42ND AVE SW STE E-128
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4507
Mailing Address - Country:US
Mailing Address - Phone:206-705-9372
Mailing Address - Fax:564-209-5259
Practice Address - Street 1:4723 42ND AVE SW STE E-128
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4507
Practice Address - Country:US
Practice Address - Phone:206-705-9372
Practice Address - Fax:564-209-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation