# PLATTSBURGH PHYSICAL THERAPY AND SPORTS REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CATSKILL ORTHOPEDICS AND SPORTS PHYSICAL THERAPY AND DBA MOUNTAIN PT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134312333
- **Authorized official:** DR. WALEED S. AHMED DPT (OWNER)
- **Authorized official phone:** (845) 796-2470

## Contact information

- **Practice address:** 427 BROADWAY, SUITE 3, MONTICELLO, NY 12701-1742
- **Practice address phone:** (845) 796-2470
- **Practice address fax:** (845) 796-1420
- **Mailing address:** PO BOX 130, KIAMESHA LAKE, NY 12751-0130
- **Mailing address phone:** (845) 796-2470
- **Mailing address fax:** (845) 796-1420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 022824 | NY | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 05/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02622571 | — | NY |
