MEDICARE: ALI ZAHIRI NEGAD PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT42617	FL

General Provider Information

NPI Number	:	1922808898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ZAHIRI NEGAD PT, DPT

Provider Business Mailing Address
First Line	:	1835 3RD ST N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7469
Country	:	US
Telephone Number	:	904-734-0200
Fax Number	:	888-595-3297

Provider Business Practice Location Address
First Line	:	1835 3RD ST N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7469
Country	:	US
Telephone Number	:	904-734-0200
Fax Number	:	888-595-3297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	04/16/2026

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