Provider Demographics
NPI:1174343529
Name:EXCEL PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:EXCEL PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, DPT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:FAIZANA
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:219-397-7771
Mailing Address - Street 1:8670 BROADWAY STE CB
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7051
Mailing Address - Country:US
Mailing Address - Phone:219-397-7771
Mailing Address - Fax:
Practice Address - Street 1:8670 BROADWAY STE CB
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7051
Practice Address - Country:US
Practice Address - Phone:219-397-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXCEL PHYSICAL THERAPY P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment