Individual provider Active NPI

Aleena Riaz

  • Chiropractor
  • Clarksville, TN
National Provider Identifier
1629704440
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3508 Issued in TN
Practice address
162 Jack Miller Blvd Apt 102
Clarksville, TN 37042-5121
Phone
(931) 240-3269
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3508 TN Primary

Addresses

Primary practice location

162 Jack Miller Blvd Apt 102
Clarksville, TN 37042-5121

Mailing address

920 Highway 76 Ste 70
Clarksville, TN 37043-3026
Phone (931) 240-3269

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL desktop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240411000655 MO Practitioner - Chiropractic 5395183271 Reassigns benefits to 2 organizations
I20250430000524 TN Practitioner - Chiropractic 5395183271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Midwest HealthcareGroup PAC ID 8527363639, 4 clinicians

Practice addresses (Care Compare)

12174 Natural Bridge Rd
Bridgeton, MO 63044-2017
Phone (314) 833-6240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3508TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aayan Chiropractic and Wellness Center PLLC Chiropractor CurrentSince Apr 21, 2025 Accepting new patients
Gateway Midwest Healthcare Single Specialty CurrentSince Apr 14, 2025 Accepting new patients
Quick-Work Chiropractic LLC Chiropractor CurrentSince Feb 28, 2024 Accepting new patients

Locations

12174 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 481-3037

5203 Chippewa St
Ste 301
Saint Louis, MO 63109
Phone (314) 481-5000

4225 Bayless Ave
Saint Louis, MO 63123
Phone (314) 544-5600

130 Hillcrest Dr
Ste 103
Clarksville, TN 37043
Phone (615) 682-2446

329 Warfield Blvd
Ste D
Clarksville, TN 37043
Phone (931) 378-7721

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1629704440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HIGHWAY 76 STE 70",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433026",
            "telephone_number": "931-240-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 JACK MILLER BLVD APT 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370425121",
            "telephone_number": "931-240-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAZ",
        "first_name": "ALEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "162 Jack Miller Blvd Apt 102",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370425121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.