Provider Demographics
NPI:1356578173
Name:AMERICAN FITNESS AND REHAB INC
Entity type:Organization
Organization Name:AMERICAN FITNESS AND REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-624-9816
Mailing Address - Street 1:79 S 700 W
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46229-3275
Mailing Address - Country:US
Mailing Address - Phone:317-947-6241
Mailing Address - Fax:317-622-2971
Practice Address - Street 1:79 S 700 W
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:IN
Practice Address - Zip Code:46229-3275
Practice Address - Country:US
Practice Address - Phone:317-947-6241
Practice Address - Fax:317-622-2971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003837225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty