Iman Ahmad, DPT

Individual provider Active NPI Physical Therapist · Ewing, NJ

NPI 1760101596 · NPPES record last updated Sep 21, 2022

Key facts

NPI
1760101596
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA02106000 (NJ)
Practice address
340 Scotch Rd
Ewing, NJ 08628-1300
Phone
(609) 924-8131
Fax
(609) 924-8532
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220915001051 NJ Practitioner - Physical Therapist in Private Practice 6709261530 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonj LLC Current
since Sep 6, 2022
Accepting new patients
Orthonj LLC Current
since Sep 6, 2022
Accepting new patients

Locations

340 Scotch Rd
Ewing, NJ 08628
Phone (609) 924-5044

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

1 Union St
Ste 305
Robbinsville, NJ 08691
Phone 6099248131 ext. 4232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02106000 NJ Yes

Addresses

Primary practice location

340 Scotch Rd
Ewing, NJ 08628-1300

Mailing address

340 Scotch Rd
Ewing, NJ 08628-1300
Phone (609) 924-8131

Other providers in Ewing, NJ

All providers in Ewing, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.