Provider Demographics
NPI:1750477873
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:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:FAIZANA
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-670-4288
Mailing Address - Street 1:7231 JEFFREY ST
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3512
Mailing Address - Country:US
Mailing Address - Phone:219-670-4288
Mailing Address - Fax:219-397-7771
Practice Address - Street 1:523 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-3206
Practice Address - Country:US
Practice Address - Phone:219-397-7771
Practice Address - Fax:219-397-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy