1750477873 NPI number — EXCEL PHYSICAL THERAPY P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750477873 NPI number — EXCEL PHYSICAL THERAPY P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXCEL PHYSICAL THERAPY P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750477873
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7231 JEFFREY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCHERERVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46375-3512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-671-0729
Provider Business Mailing Address Fax Number:
219-397-1952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8670 BROADWAY STE CB
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERRILLVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46410-7051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-397-7771
Provider Business Practice Location Address Fax Number:
219-397-1952
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOHAMMED
Authorized Official First Name:
AMIRA
Authorized Official Middle Name:
FAIZANA
Authorized Official Title or Position:
PHYSICAL THERAPIST
Authorized Official Telephone Number:
219-397-7771

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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