Wadeaa Ibrahimm

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041319 Issued in NY

Practice address

10844 63Rd Ave
Forest Hills, NY 11375-1343

Phone

(646) 415-2448

NPI assigned

Apr 4, 2017

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Physical Therapy Care PLLCGroup PAC ID 8921494964, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Creative Physical Therapy Care PLLC

  • Physical Therapist
  • Valley Cottage, NY
  • NPI 1700545803
  Medicare reassignment Care Compare group NPD Authorized official
• St Maurice Physical Therapy PC

  • Physical Therapist
  • Westbury, NY
  • NPI 1588017677
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1609309962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10844 63RD AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 63RD AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751343",
            "telephone_number": "646-415-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIMM",
        "first_name": "WADEAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I & R Medical Services PC
• I.N.Optical Corp.
• John Iammatteo, M.D.
• Daniela Andrea Ibacache Martinez
• Yelena Ibragimova
• Cheree Ice
• Ida Messana MD PLLC
• Sabatino Ienopoli, D.O.
• Arham Ihtesham, MD
• Zuleikha Ikbal

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.