Provider Demographics
NPI:1265062079
Name:KOMPASHINET REHAB LLC
Entity type:Organization
Organization Name:KOMPASHINET REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAYED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:317-992-3132
Mailing Address - Street 1:1130 KNIGHTSBRIDGE LANE
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9151
Mailing Address - Country:US
Mailing Address - Phone:317-992-3132
Mailing Address - Fax:317-578-3638
Practice Address - Street 1:1130 KNIGHTSBRIDGE LANE
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9151
Practice Address - Country:US
Practice Address - Phone:317-992-3132
Practice Address - Fax:317-578-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy