Provider Demographics
NPI:1851049258
Name:TORAD, AHMED ALI MOHAMMED (PT, PHD, MSC)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:ALI MOHAMMED
Last Name:TORAD
Suffix:
Gender:M
Credentials:PT, PHD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 RACQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1212
Mailing Address - Country:US
Mailing Address - Phone:315-746-3477
Mailing Address - Fax:
Practice Address - Street 1:1202 RACQUETTE RD
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1212
Practice Address - Country:US
Practice Address - Phone:315-746-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048486-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist