Active NPI
Mohammad Khalaf Ali
- Athletic Trainer
- Saline, MI
National Provider Identifier
1912739871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601003047
- Practice address
- 984 E Michigan Ave
Saline, MI 48176-1586 - Phone
- (734) 712-5151
- NPI assigned
- Aug 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601003047 | MI | Primary |
Addresses
Primary practice location
984 E Michigan Ave
Saline, MI 48176-1586
Mailing address
4773 Chovin St
Dearborn, MI 48126-3003
Phone (313) 870-7484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601003047 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Probility Therapy Services | Current | Accepting new patients | |
| Probility Therapy Services | Past | Accepting new patients |
Locations
984 E Michigan Ave
Saline, MI 48176
Phone (734) 316-2903
Organizations & group practices 2
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.
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- Ypsilanti, MI
- NPI 1164458543
-
- Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1952873689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1912739871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4773 CHOVIN ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263003",
"telephone_number": "313-870-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 E MICHIGAN AVE",
"city": "SALINE",
"state": "MI",
"postal_code": "481761586",
"telephone_number": "734-712-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MOHAMMAD",
"middle_name": "KHALAF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601003047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.