Provider Demographics
NPI:1750252920
Name:AHMED, SAMEERA (PTA)
Entity type:Individual
Prefix:
First Name:SAMEERA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E 158TH ST APT 2I
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-4560
Mailing Address - Country:US
Mailing Address - Phone:347-993-4865
Mailing Address - Fax:
Practice Address - Street 1:404 E 158TH ST APT 2I
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4560
Practice Address - Country:US
Practice Address - Phone:347-993-4865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant