Atif Masood Ali, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023212 Issued in IL

Practice address

411 Hamilton Blvd Ste 1908
Peoria, IL 61602-1146

Phone

(309) 674-7874

Fax

(309) 674-7814

NPI assigned

Aug 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1568073872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W BLUEBONNET DR APT 16316",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157085",
            "telephone_number": "309-231-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HAMILTON BLVD STE 1908",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021146",
            "telephone_number": "309-674-7874",
            "fax_number": "309-674-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ATIF",
        "middle_name": "MASOOD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ai Alexander, FNP
• Peter Donald Alexander
• Michael James Alfini, MD
• Yasmine Fawaz Alhajeh, MD
• Alaaedin Alhomosh, MD
• Jennifer Ali
• Maqbool B Ali, M.D
• Suzain Ali, MBBS, MPH
• Syed Masood Ali, M.D.
• Waqas Ali, MD

• Physical Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.