Olfat Ahmed, PT

Individual provider Active NPI Physical Therapist · Munster, IN

NPI 1881824019 · NPPES record last updated Jul 22, 2009

Key facts

NPI
1881824019
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05009686A (IN)
Practice address
931 Ridge Rd
Unit G
Munster, IN 46321-1755
Phone
(219) 836-2800
Fax
(219) 836-2897
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05009686AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy, LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05009686A IN Yes

Addresses

Primary practice location

931 Ridge Rd
Unit G
Munster, IN 46321-1755

Mailing address

361 S Frontage Rd
Suite 124
Burr Ridge, IL 60527-5830
Phone (630) 920-4670

Other providers in Munster, IN

All providers in Munster, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.