Mohamed Moustafa Ibrahim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040553 Issued in NY

Practice address

8415 4TH Ave
Brooklyn, NY 11209-4654

Phone

(718) 921-9721

NPI assigned

Aug 13, 2016

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, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Richmond County Physical Therapy P.C

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1245709310

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471046400000",
    "number": "1750835286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ABINGDON CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094654",
            "telephone_number": "718-921-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MOHAMED",
        "middle_name": "MOUSTAFA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Samy Ibrahim, PT
• Mariam Ibrahim
• Mazen Mohamed Ibrahim Ibrahim, MD PHD
• Mediha Ibrahim, M.D
• Michael Ibrahim, MD
• Mona Ibrahim, RPH
• Mudathir Omobonuola Ibrahim, MD
• Nagwa Ibrahim, OD
• Ramez Medhat Sadek Moawad Ibrahim
• Sherine Ibrahim, D.D.S.06

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 13, 2016; 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.