Mina Ebrahem

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041303 Issued in NY

Practice address

207 Ocean Pkwy Apt 6B
Brooklyn, NY 11218-3204

Phone

(718) 406-4348

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By 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

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mebrahem@girlingny.com
• Direct secure messaging: mebrahem@jewishhome.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225

  Physical Therapist

  Medicare reassignment NPD
• Prokinetics Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922412220
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1790445427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OCEAN PKWY APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OCEAN PKWY APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183204",
            "telephone_number": "718-406-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHEM",
        "first_name": "MINA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "406",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MEbrahem@jewishhome.org",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 Ocean Pkwy Apt 6B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112183204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MEBRAHEM@GIRLINGNY.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 Ocean Pkwy Apt 6B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112183204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Ebner, MD
• Stella Mary Ebo, MD
• Peter Eboli
• Imoh Ebong
• Maria Teresa Burog Ebora, PT
• Mohamed Ahmed Maki Ebrahim, MD
• Nadrina Mary Ebrahimi
• Sara Ebrahimi, M.D.
• Tala Ebrahimian
• Anna Ebrani, LCSW

• 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 Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.