Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Riazulla Khan

Individual provider Physical Therapist · NPI 1639177264

Mr. Riazulla Khan is a Physical Therapist in Private Practice in Rochelle, Illinois. Qualified in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Licensed in
IL
In the registry since
2005
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Practice location Address checks out

513 4th Ave
Rochelle, IL 61068-1510
Phone: (815) 561-8786
Fax: (815) 561-8786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1639177264
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESJuly 13, 2026
Mailing address513 4th Ave, Rochelle, IL 61068-1510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rochelle