Active NPI
Akram E Ibrahim, DPT
- Physical Therapist
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070025913
- Practice address
- 100 W Chestnut St
Hinsdale, IL 60521-3387 - Phone
- (630) 481-7350
- Fax
- (630) 481-7352
- NPI assigned
- Jun 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070025913 | IL | Primary |
Addresses
Primary practice location
100 W Chestnut St
Hinsdale, IL 60521-3387
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210611001252 | IL | Practitioner - Physical Therapist in Private Practice | 6305246455 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA
Practice addresses (Care Compare)
111 N Larkin Ave
Suite C
Joliet, IL 60435-7833
Phone (779) 970-5100
1624 S Route 59
Suite 100
Naperville, IL 60564-5967
Phone (331) 249-4088
17236 Harlem Ave
Tinley Park, IL 60477-6619
Phone (708) 633-8379
2 River PL
Suite B
Lansing, IL 60438-6038
Phone (708) 895-9860
204 E Washington St
Clinton, IL 61727-1715
Phone (217) 570-0225
2777 Maple Ave
Lisle, IL 60532-3280
Phone (630) 326-8810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
Locations
557 Main St NW
Bourbonnais, IL 60914
Phone (815) 839-2090
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
799 Central Ave
Ste 210
Highland Park, IL 60035
Phone (847) 433-5502
111 N Larkin Ave
Ste C
Joliet, IL 60435
Phone (779) 970-5100
712 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 550-4580
1445 Peterson Rd
Libertyville, IL 60048
Phone (847) 356-2895
2777 Maple Ave
Lisle, IL 60532
Phone (630) 326-8810
1624 S Route 59
Ste 100
Naperville, IL 60564
Phone (331) 249-4088
840 Willow Rd
Ste P
Northbrook, IL 60062
Phone (224) 649-5600
1480 Douglas Rd
Oswego, IL 60543
Phone (331) 216-0100
38 S Main St
Apt A
Sugar Grove, IL 60554
Phone (630) 466-5866
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 6
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.
-
- Physical Therapist
- Clinton, IL
- NPI 1376917187
IL, Physical Therapist
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
- Physical Therapist
- Peru, IN
- NPI 1750764494
-
- Physical Medicine & Rehabilitation Physician
- Kingston, NY
- NPI 1194295998
-
- Physical Medicine & Rehabilitation Physician
- Poughkeepsie, NY
- NPI 1548739956
-
- Physical Medicine & Rehabilitation Physician
- Rhinebeck, NY
- NPI 1922578723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1164099602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CHESTNUT ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213387",
"telephone_number": "630-481-7350",
"fax_number": "630-481-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "AKRAM",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070025913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.