Khurshid Ibrahimi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041567 Issued in NY

Practice address

59 Martin Rd N
Bethpage, NY 11714-5119

Phone

(516) 680-5484

NPI assigned

Apr 21, 2018

Last updated

Apr 21, 2018By 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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Vazhakalayil PT PLLCGroup PAC ID 4587145933, 2 clinicians

Front Street Medical PCGroup PAC ID 3971893793, 3 clinicians

Active Mobility Physical Therapy PCGroup PAC ID 8325489362, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Active Mobility Physical Therapy PC

  • Physical Therapist
  • Bethpage, NY
  • NPI 1235995408
  Medicare reassignment Care Compare group NPD Authorized official
• Front Street Medical, P.C.

  • Internal Medicine Physician
  • Hempstead, NY
  • NPI 1407212962

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Harveen Kaur Ny PT, PLLC

  dba Long Island Physical Therapy & Rehab

  • Physical Therapist
  • Bethpage, NY
  • NPI 1275231375
  Medicare reassignment NPD
• Thomas Vazhakalayil, PT, PLLC

  • Physical Therapist
  • Plainview, NY
  • NPI 1487519278
  Care Compare group
• Visiting PT OT Services PLLC

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1285232082
  NPD
• Front Street Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
  • NPI 1790992030
  NPD (past)
• Patriot Family Medical Associates PLLC

  • Family Medicine Physician
  • Valley Stream, NY
  • NPI 1811031776
  NPD (past)

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524268800000",
    "number": "1912494279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MARTIN RD N",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145119",
            "telephone_number": "516-680-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MARTIN RD N",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145119",
            "telephone_number": "516-680-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIMI",
        "first_name": "KHURSHID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospitalist Group PC
• Aneliya H Hristova, PA-C
• Claudia Hutchinson-Stewart, CASAC-T
• Karen Elizabeth Iaquinto, N.P.
• Belal Ibrahim
• Nusrat Ibrahimi, PT
• Innovative Medical Therapies, Inc.
• Robert Inocco
• Integramed
• Integrated Medical Professionals PLLC

• Physical Therapist in Bethpage, NY
• Providers in Bethpage, 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 21, 2018; 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.