Individual provider Active NPI

Ganiyu Azeez, P.T.

  • Physical Therapist
  • Hammond, IN
National Provider Identifier
1982808747
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003421A Issued in IN
Practice address
7443 Indianapolis Blvd
Hammond, IN 46324-2909
Phone
(219) 844-8100
NPI assigned
Jun 13, 2007
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

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

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

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05003421AINMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mary Tilak PC Physical Therapy CurrentSince Jul 1, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jul 15, 2024 Accepting new patients
Work Injuries Physical Therapy, LLC Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Ganiyu Azeez PT Physical Therapy CurrentSince Nov 8, 2020 Accepting new patients
Cardiovascular Consultants PC Physical Therapy PastSince Jul 1, 2024 Accepting new patients
Physicians Rehabiliation Services Physical Therapist PastSince 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) 209-0472

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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1982808747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7443 INDIANAPOLIS BLVD",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242909",
            "telephone_number": "219-844-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8691 Connecticut St Ste C",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106239",
            "country_code": "US",
            "telephone_number": "219-516-1056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 S McKinley Ave",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "479782949",
            "country_code": "US",
            "telephone_number": "219-516-1056",
            "fax_number": "888-727-6224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5265 Commerce Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463075327",
            "country_code": "US",
            "telephone_number": "219-209-0472",
            "fax_number": "888-727-6224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZEEZ",
        "first_name": "GANIYU",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05003421A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003421A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.