Paul Maron Ibri, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019668 Issued in MI

Practice address

21550 Harrington St Ste D
Clinton TWP, MI 48036-2362

Phone

(586) 783-7590

NPI assigned

Sep 14, 2020

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Wayne State University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Neurosurgical Associates PCGroup PAC ID 9739139759, 34 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.ibri.p4@direct.athleticoltd.nextgenshare.com
• Direct secure messaging: paul.ibript.p1@direct.mhsineuro.nextgenshare.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.

• University Neurosurgical Associates PC

  • Specialist
  • Southfield, MI
  • NPI 1699761379
  Medicare reassignment Care Compare group
• CKS of Mt Clemens LLC

  • Physical Therapy Clinic/Center
  • Mount Clemens, MI
  • NPI 1619172673

  Physical Therapist

  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1982219283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 HARRINGTON ST STE D",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362362",
            "telephone_number": "586-783-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRI",
        "first_name": "PAUL",
        "middle_name": "MARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gale D Hurst, CRNA
• Susan Marie Husken, MA, LLPC
• Syed Babar Hussain
• Jamie Rae Hutchison, PA-C
• Amarildo Hysa
• In & Out Lab Solutions LLC
• Institute of Sleep and Wellness LLC
• Integrated Autism Center LLC
• Sateesh Inturi
• Angelina Ioppolo

• Physical Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.