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NPI Code Detail

MEDICARE: RYAN MICHAEL RIZK

MEDICARE: RYAN MICHAEL RIZK
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 Therapist12751SC

General Provider Information

NPI Number : 1912704123
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN MICHAEL RIZK
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number : 866-370-8206
Fax Number :
Provider Business Practice Location Address
First Line : 8950 UNIVERSITY BLVD STE 200A
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9897
Country : US
Telephone Number : 843-414-1140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2025
Last Update Date : 01/23/2026

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Directions to “ RYAN MICHAEL RIZK ” Practice Location

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