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NPI Code Detail

MEDICARE: MOHAMMED RIAZ ALI PT

MEDICARE: MOHAMMED RIAZ ALI PT
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
1225100000XPhysical Therapist3987NE
2225100000XPhysical Therapist070013084IL

General Provider Information

NPI Number : 1497834055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED RIAZ ALI PT
Provider Business Mailing Address
First Line : 1860 PAYSPHERE CIR
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4602 S 132ND ST
Second Line :
City : OMAHA
State : NE
Zip : 68137-1764
Country : US
Telephone Number : 402-763-1888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 07/25/2025

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Directions to “ MOHAMMED RIAZ ALI PT” Practice Location

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