Ibrahim Dessouky, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018210 Issued in NY

Practice address

22 Balsam LN
Levittown, NY 11756-4802

Phone

(347) 739-6979

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1770858540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11443 142ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114361024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BALSAM LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564802",
            "telephone_number": "347-739-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSOUKY",
        "first_name": "IBRAHIM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise C. Santucci, MD, LLC
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• Regina Desantis, LMSW
• Jennifer Desetto, PMHNP
• Peter J Detolla, DDS
• Stacy A Devaul, MA, BCBA
• Elizabeth Almeida Diamentini
• Diane L. Becker DO PC (Caring Hands Family Practice)
• Barbara Dicken

• Physical Therapist in Levittown, NY
• Providers in Levittown, 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 Mar 13, 2012; 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.