Individual provider Active NPI

Busra Ibrahim

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1013740117
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051268 Issued in NY
Practice address
467 Myrtle Ave
Brooklyn, NY 11205-2673
Phone
(718) 648-0888
Fax
(855) 955-3899
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051268 NY Primary

Addresses

Primary practice location

467 Myrtle Ave
Brooklyn, NY 11205-2673

Mailing address

8746 20TH Ave # L
Brooklyn, NY 11214-4802
Phone (718) 648-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000635 NY Practitioner - Physical Therapist in Private Practice 6709325905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Link Medical Services PLLCGroup PAC ID 7214385111, 13 clinicians

Practice addresses (Care Compare)

160 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 727-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051268NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of the City PC Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Link Medical Services PLLC CurrentSince May 25, 2025 Accepting new patients
Bienetre Medical PC Physical Therapist PastSince Aug 15, 2024 Accepting new patients
Nitin Mariwalla MD PLLC PastSince Mar 15, 2025 Accepting new patients

Locations

160 Old Country Rd
Riverhead, NY 11901
Phone (631) 531-9400

Organizations & group practices 4

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1013740117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8746 20TH AVE # L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144802",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052673",
            "telephone_number": "718-648-0888",
            "fax_number": "855-955-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "BUSRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.