Individual provider Active NPI

Amandeep Kaur Ahluwalia, PT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1225435977
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29433 Issued in FL
Practice address
13720 N Cleveland Ave Ste B
Fort Myers, FL 33903-4300
Phone
(239) 997-8100
Fax
(239) 997-4817
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29433 FL Primary
Physical Therapist 225100000X 1251238 TX

Addresses

Primary practice location

13720 N Cleveland Ave Ste B
Fort Myers, FL 33903-4300

Mailing address

13720 N Cleveland Ave
Suite B, North Fort Myers
Fort Myers, FL 33903-4300
Phone (239) 997-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1251238TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1225435977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE",
            "address_2": "SUITE B, NORTH FORT MYERS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339034300",
            "telephone_number": "239-997-8100",
            "fax_number": "239-997-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339034300",
            "telephone_number": "239-997-8100",
            "fax_number": "239-997-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "AMANDEEP",
        "middle_name": "KAUR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29433",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1251238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.