# ALPHA ONE PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811340243
- **Authorized official:** OMAR AHMED MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 574-5334

## Contact information

- **Practice address:** 3200 KENNEDY BLVD, JERSEY CITY, NJ 07306-3416
- **Practice address phone:** (917) 574-5334
- **Practice address fax:** (718) 333-1398
- **Mailing address:** 3600 BERGENLINE AVE, STE 8, UNION CITY, NJ 07087-7900
- **Mailing address phone:** (917) 574-5334
- **Mailing address fax:** (718) 333-1398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016