Individual provider Active NPI

Ahmed Mostafa Ibrahim, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1962063784
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040181 Issued in NY
Practice address
2750 E 12TH St Apt 6G
Brooklyn, NY 11235-4664
Phone
(929) 431-4637
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040181 NY Primary

Addresses

Primary practice location

2750 E 12TH St Apt 6G
Brooklyn, NY 11235-4664

Mailing address

2750 E 12TH St Apt 6G
Brooklyn, NY 11235-4664
Phone (929) 431-4637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722002160 NY Practitioner - Physical Therapist in Private Practice 7113253634 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Rehab on Wheels OT PT PLLCGroup PAC ID 0042585358, 49 clinicians
At Your Doorstep OT PLLCGroup PAC ID 8022542653, 5 clinicians

Practice addresses (Care Compare)

174 Bay 29TH St
Suite C1
Brooklyn, NY 11214-5020
Phone (718) 395-7445

75 Oceana Dr E
Apt 3D
Brooklyn, NY 11235-6671
Phone (917) 720-7649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040181NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ober Sarf PT OT PLLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
At Your Doorstep OT PLLC Physical Therapist CurrentSince Jun 15, 2025 Accepting new patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

829 Empire Ave
Far Rockaway, NY 11691
Phone (718) 327-2101

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1962063784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E 12TH ST APT 6G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354664",
            "telephone_number": "929-431-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E 12TH ST APT 6G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354664",
            "telephone_number": "929-431-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "AHMED",
        "middle_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.