Ganiyu Azeez, P.T.

Individual provider Active NPI Physical Therapist · Hammond, IN

NPI 1982808747 · NPPES record last updated Aug 14, 2024

Key facts

NPI
1982808747
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05003421A (IN)
Practice address
7443 Indianapolis Blvd
Hammond, IN 46324-2909
Phone
(219) 844-8100
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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 Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100 (group)
Quality
90
Improvement activities
40
Cost
73.3

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
05003421AINMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mary Tilak PC Physical Therapy Current
since Jul 1, 2024
Accepting new patients
Ganiyu Azeez PT Physical Therapy Current
since Nov 8, 2020
Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current
since Jul 15, 2024
Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Current
since Jul 15, 2024
Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Work Injuries Physical Therapy, LLC Physical Therapist Current
since Oct 19, 2020
Accepting new patients
Cardiovascular Consultants PC Physical Therapy Past
since Jul 1, 2024
Accepting new patients
Physicians Rehabiliation Services Physical Therapist Past
since Mar 1, 1998
Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1275 E North St
Ste 102
Crown Point, IN 46307
Phone (219) 922-8051

5265 Commerce Blvd
Ste D
Crown Point, IN 46307
Phone (219) 769-5080

6625 W US Highway 30
Crown Point, IN 46307
Phone (219) 440-5360

7443 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 844-8100

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

2241 45th St
Highland, IN 46322
Phone (219) 738-1736

8691 Connecticut St
Ste C
Merrillville, IN 46410
Phone (219) 516-1056

9410 Calumet Ave
Ste 101
Munster, IN 46321
Phone (219) 922-8051

123 S McKinley Ave
Rensselaer, IN 47978
Phone (219) 866-1890

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05003421A IN
Physical Therapist 225100000X 05003421A IN Yes

Addresses

Primary practice location

7443 Indianapolis Blvd
Hammond, IN 46324-2909

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

8691 Connecticut St Ste C
Merrillville, IN 46410-6239
Phone (219) 516-1056

Other practice location 2

123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 516-1056

Other practice location 3

5265 Commerce Blvd Ste D
Crown Point, IN 46307-5327
Phone (219) 209-0472

Other providers in Hammond, IN

All providers in Hammond, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.