Active NPI
Sadiat Remmie Ibrahim, PT
- Physical Therapist
- Henrico, VA
National Provider Identifier
1578035929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214232
- Practice address
- 3167 Lauderdale Dr
Henrico, VA 23233-7801 - Phone
- (804) 991-4600
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214232 | VA | Primary |
| Physical Therapist | 225100000X | 12036 | CT |
Addresses
Primary practice location
3167 Lauderdale Dr
Henrico, VA 23233-7801
Mailing address
3167 Lauderdale Dr
Henrico, VA 23233-7801
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12036 | CT | MD | Physical Therapist |
| 2305214232 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1578035929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3167 LAUDERDALE DR",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3167 LAUDERDALE DR",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337801",
"telephone_number": "804-991-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "SADIAT",
"middle_name": "REMMIE",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214232",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "12036",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.