Active NPI
Excel Physical Therapy P.C.
- Durable Medical Equipment & Medical Supplies
- Merrillville, IN
National Provider Identifier
1174343529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EXCEL PHYSICAL THERAPY P.C.
- Doing business as
- Excel Compressions
- Practice address
- 8670 Broadway Ste CB
Merrillville, IN 46410-7051 - Phone
- (219) 397-7771
- NPI assigned
- Oct 11, 2024
- Organization subpart
- Yes
- Parent organization
- EXCEL PHYSICAL THERAPY P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amira Faizana Mohammed, DPT
- Title
- Founder, DPT
- Phone
- (219) 397-7771
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
8670 Broadway Ste CB
Merrillville, IN 46410-7051
Mailing address
8670 Broadway Ste CB
Merrillville, IN 46410-7051
Phone (219) 397-7771
Other names 1
- Excel Compressions
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250515000517 | IN | DME Supplier - Independently-Practicing Physical Therapist | 7719989441 | Practice locations: Merrillville, IN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Physical Therapy Clinic/Center
- Merrillville, IN
- NPI 1750477873
7719989441
National Provider Directory
National Provider Directory- Tax ID family
- Excel Physical Therapy PC
- Part of
- Excel Physical Therapy PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Merrillville, IN
- NPI 1750477873
Locations
525 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1342
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapy Clinic/Center
- Merrillville, IN
- NPI 1750477873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1174343529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8670 BROADWAY STE CB",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107051",
"telephone_number": "219-397-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8670 BROADWAY STE CB",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107051",
"telephone_number": "219-397-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL PHYSICAL THERAPY P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EXCEL PHYSICAL THERAPY P.C.",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "AMIRA",
"authorized_official_middle_name": "FAIZANA",
"authorized_official_title_or_position": "FOUNDER, DPT",
"authorized_official_telephone_number": "219-397-7771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Excel Compressions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.