Individual provider Active NPI

Akram E Ibrahim, DPT

  • Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1164099602
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070025913 Issued in IL
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

Updated by the provider on Jun 4, 2021

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 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 IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 7012997638, 385 clinicians

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

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince May 28, 2021 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.

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.

Verify at the official NPI Registry.