Mennatallah Ibrahim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040552 Issued in NY

Practice address

550 Mamaroneck Ave Ste 104
Harrison, NY 10528-1612

Phone

(914) 777-3737

Fax

(914) 777-0914

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Physio Care Physical Therapy PC

  • Physical Therapist
  • Bronx, NY
  • NPI 1538781414
  NPD Authorized official
• Physio Development PT PC

  • Rehabilitation Hospital Unit
  • Baldwin, NY
  • NPI 1205613536
  NPD Authorized official
• Physio Rehab PT PC

  • Rehabilitation Clinic/Center
  • Jamaica, NY
  • NPI 1770363400
  NPD Authorized official
• Rehabilities Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Westbury, NY
  • NPI 1457795791

  Physical Therapist

  NPD (past)
• Richmond Medical Care PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1043610090
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1164073078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BAY 41ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAMARONECK AVE STE 104",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281612",
            "telephone_number": "914-777-3737",
            "fax_number": "914-777-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Bay 41st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145412",
            "country_code": "US",
            "telephone_number": "646-384-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MENNATALLAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu-Ting Elizabeth Hung, MD
• Elyssa K Hurlbut
• Natalie H. Hurst, PH.D.
• Benjamin Hylka
• Suzanne Iasenza, PHD
• Erika Illescas
• Robert Inesta, D.C.
• Jennifer S Innabi, LMHC
• Harvey P Insler, MD
• Integrative Pediatrics NP, Kim Levinson PLLC

• Physical Therapist in Harrison, NY
• Providers in Harrison, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.