# ASCENDIA PT AND OT REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720979073
- **Authorized official:** MONA PATEL MOT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (908) 510-9326

## Contact information

- **Practice address:** 1030 SAINT GEORGES AVE STE LL3, AVENEL, NJ 07001-1330
- **Practice address phone:** (908) 510-9326
- **Mailing address:** 1030 SAINT GEORGES AVE STE LL3, AVENEL, NJ 07001-1330
- **Mailing address phone:** (908) 510-9326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2025
- **Last updated:** 07/14/2025