Ali Raza, COTAL, LMT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202008228 Issued in MI

Practice address

10400 Hamburg Road
Hamburg, MI 48139-0205

Phone

(810) 231-9042

Fax

(810) 231-9063

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational Therapy Services, Inc.

  dba JUMP-IN Professional Services

  • Physical Rehabilitation Occupational Therapist
  • Hamburg, MI
  • NPI 1467459826
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1316488919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17452 HANOVER AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012837",
            "telephone_number": "810-231-9042",
            "fax_number": "810-231-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 HAMBURG ROAD",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390205",
            "telephone_number": "810-231-9042",
            "fax_number": "810-231-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "COTAL, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008228",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214471",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Therapy Services, Inc. (JUMP-IN Professional Services)
• Kimberly Ann Ozias, OTR/L
• Stephanie Lynn Peterson, M.D.
• Brianna Porath, DPT
• Ram Pharmacy, Inc (Hamburg Pharmacy)
• Laura Elizabeth Robinson, MS, OTRL
• Nathan Santoni, AT, ATC
• Mari Kay Savatsky, CERTIFIED THERAPEUTI
• Scott Michael Smith, M.P.T.
• Megan Stainer

• Occupational Therapy Assistant in Hamburg, MI
• Providers in Hamburg, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.