Amg Impact Rehab PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AMG IMPACT REHAB PT PC

Practice address

1100 Pelham Pkwy S
Bronx, NY 10461-1001

Phone

(718) 682-3152

NPI assigned

Jun 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ahmed GhanemNPI 1912375163

Title

Owner

Phone

(347) 459-8493

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Mohamed Mahmoud Ghanem, PT

  • Physical Therapist
  • New York, NY
  • NPI 1912375163
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1194560425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PROSPECT AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611001",
            "telephone_number": "718-682-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMG IMPACT REHAB PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-459-8493"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne T. Ames
• Charlene Jamie Ames
• Ilya Ames, D.D.S.
• Godson Amevor
• Constance Ameyaw, LPN
• Abdul-Aziz Amidu
• Hesham Amien, MD
• Anita Amin, MD
• Bushra Amin, MD
• Mohammed Amin Fadol Amin

• Physical Therapy Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.