Mai Ahmed, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Munster, IN
NPI 1780336552 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1780336552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.026363 (IL)
- Practice address
- 8159 Calumet Ave
Munster, IN 46321-1701 - Phone
- (219) 836-2800
- NPI assigned
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Physical Therapy PC
Practice addresses (Care Compare)
14474 S la Grange Rd
Orland Park, IL 60462-2506
Phone 63092046706
8159 Calumet Ave
Munster, IN 46321-1701
Phone (630) 920-4670
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220225002377 | IL | Practitioner - Physical Therapist in Private Practice | 5496149973 | Reassigns benefits to 1 organization |
| I20220302001844 | IN | Practitioner - Physical Therapist in Private Practice | 5496149973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.026363 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Locations
570 Village Center Dr
Ste 205
Burr Ridge, IL 60527
1850 W Winchester Rd
Ste 223
Libertyville, IL 60048
Phone (847) 680-3020
14474 S La Grange Rd
Orland Park, IL 60462
Phone (708) 460-8080
8159 Calumet Ave
Munster, IN 46321
Phone (219) 836-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.026363 | IL | Yes |
Addresses
Primary practice location
8159 Calumet Ave
Munster, IN 46321-1701
Mailing address
570 Village Center Dr Ste 205
Burr Ridge, IL 60527-4526
Phone (630) 920-4670
Other providers in Munster, IN
- Advanced Pain Treatment of Chicago SC
- Agape Family Chiropractic LLC
- Maria Teresa Aguirre
- Ejaz Aftab Ahmad
- Imran Ahmad
- Olfat Ahmed
- Anjali Srivastava Ahn
- Ender A Akan
- Raza R Akbar
- Mehdi Akhavan-Heidari
All providers in Munster, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.