Provider Demographics
NPI:1669425799
Name:ASCEND THERAPY GROUP PC
Entity type:Organization
Organization Name:ASCEND THERAPY GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PTDPT
Authorized Official - Phone:716-860-7476
Mailing Address - Street 1:1110 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2752
Mailing Address - Country:US
Mailing Address - Phone:716-821-1339
Mailing Address - Fax:716-825-1830
Practice Address - Street 1:1110 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2752
Practice Address - Country:US
Practice Address - Phone:716-821-1339
Practice Address - Fax:716-825-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006581-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0878Medicare PIN