Ibrahim Mustafa Altubasi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021167 Issued in PA

Practice address

3053 New Germany Road
Ebensburg, PA 15931

Phone

(814) 472-1100

Fax

(814) 472-1105

NPI assigned

May 9, 2011

Sex

Male

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Orthopedic Solutions LLC 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Spine and Orthopedic Solutions LLC

  • Physical Therapist
  • Ashburn, VA
  • NPI 1700449808
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1508158643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 CENTRE AVE APT 1C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131722",
            "telephone_number": "412-512-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 NEW GERMANY ROAD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "15931",
            "telephone_number": "814-472-1100",
            "fax_number": "814-472-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTUBASI",
        "first_name": "IBRAHIM",
        "middle_name": "MUSTAFA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alternative Community Resource Program, Inc.
• Alternative Community Resource Program, Inc.
• Alternative Community Resource Program, Inc.
• Alternative Community Resource Program, Inc.
• Alternative Community Resource Program, Inc.
• Kerry Amodio, PT
• Amy Anderson
• Appalachian Family Chiropractic Clinic PC
• Archibald R Morris OD
• Sarah B Audi, PHARM.D.

• All providers in Ebensburg, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.