Irfan M Ibrahim, P.T DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.016762 Issued in IL

Practice address

1226 Ogden Ave
Downers Grove, IL 60515-2740

Phone

(312) 730-4593

NPI assigned

Aug 21, 2007

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irfan.ibrahim.1@21320.direct.athenahealth.com

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.

• Rehabon LLC

  • Physical Therapist
  • Downers Grove, IL
  • NPI 1699324095
  Medicare reassignment NPD Authorized official
• Athletic and Therapeutic Institute of Naperville LLC

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  Medicare reassignment NPD
• Hinsdale Orthopaedic Associates, S.C.

  • Orthopaedic Surgery Physician
  • Hinsdale, IL
  • NPI 1235217209
  Medicare reassignment
• Athletic & Therapeutic Institute of Naperville, LLC

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1245411719
  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
  • NPI 1043952641
  NPD
• Team Rehabilitation Il03 LLC

  • Physical Therapist
  • Downers Grove, IL
  • NPI 1669878500
  NPD

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1972796290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S BODIN ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213913",
            "telephone_number": "312-730-4593",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152740",
            "telephone_number": "312-730-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 S Bodin St",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213913",
            "country_code": "US",
            "telephone_number": "312-730-4593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Executive Dr",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605596135",
            "country_code": "US",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605152740",
            "country_code": "US",
            "telephone_number": "312-730-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "IRFAN",
        "middle_name": "M",
        "credential": "P.T DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliya Hussain, PMHNP
• Erum Hussain
• Mariam Hussain
• Teresa M Hyrc, FNP
• Jose Ibarra, DNP, CRNA
• Samira Ibrahim, DO
• Patricia W Ideran, OTR L
• Illinois Bone and Joint Institute LLC
• Illinois Institute of Pediatric Cardiology
• Illinois Ivf LLC

• Physical Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.