Individual provider Active NPI

Rami Nabiel Ibrahim, OTR

  • Specialist
  • Kansas City, MO
National Provider Identifier
1568914075
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
201-502-2267 Issued in MO
Practice address
11400 Hidden Lake Dr
Kansas City, MO 64133-7409
Phone
(620) 778-4833
NPI assigned
Oct 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 201-502-2267 MO Primary
Specialist 174400000X 1703158 KS

Addresses

Primary practice location

11400 Hidden Lake Dr
Kansas City, MO 64133-7409

Mailing address

3724 W 141St St
Leawood, KS 66224-1122
Phone (913) 980-0766

Other names 1

  • Rami Nabiel Ibrahim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1703158KSMDSpecialist
201-502-2267MOMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1568914075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 W 141ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662241122",
            "telephone_number": "913-980-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 HIDDEN LAKE DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641337409",
            "telephone_number": "620-778-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "RAMI",
        "middle_name": "NABIEL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "201-502-2267",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "1703158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMI",
            "last_name": "IBRAHIM",
            "middle_name": "NABIEL",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.