Provider Demographics
NPI:1811962152
Name:AMEERI, NOSHEEN ALI (MPT, OCS)
Entity type:Individual
Prefix:
First Name:NOSHEEN
Middle Name:ALI
Last Name:AMEERI
Suffix:
Gender:F
Credentials:MPT, OCS
Other - Prefix:
Other - First Name:NOSHEEN
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1919 GREENTREE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1115
Mailing Address - Country:US
Mailing Address - Phone:856-424-0993
Mailing Address - Fax:
Practice Address - Street 1:1919 GREENTREE RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1115
Practice Address - Country:US
Practice Address - Phone:856-424-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33193225100000X
NJ40QA01174700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT331930OtherBLUE SHIELD
CA0PT331930Medicare PIN
CA0PT331931Medicare PIN