Mohamed Ali
Individual provider Active NPI Physical Therapist · Flint, MI
NPI 1629414446 · NPPES record last updated May 20, 2013
Key facts
- NPI
- 1629414446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501006864 (MI)
- Practice address
- 1230 S Linden Rd
Flint, MI 48532-3459 - Phone
- (810) 720-2990
- Fax
- (810) 720-2993
- NPI assigned
- May 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tmi East Inc
Practice addresses (Care Compare)
1105 S Scott Rd
Saint Johns, MI 48879-8044
Phone (810) 701-4633
1725 Port Sheldon St
Jenison, MI 49428-9002
Phone (810) 701-4633
851 Penniman Ave
Plymouth, MI 48170-1621
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131009002271 | MI | Practitioner - Physical Therapist in Private Practice | 7315171188 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tmi East, Inc. | Current |
Accepting new patients |
Locations
1725 Port Sheldon St
Jenison, MI 49428
Phone (616) 667-1725
851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006864 | MI | Yes |
Addresses
Primary practice location
1230 S Linden Rd
Flint, MI 48532-3459
Mailing address
1014 Touraine Ave
East Lansing, MI 48823-2440
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.