Individual provider Active NPI

Mohamed Saeed Ibrahim, PT

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1982833612
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003890A Issued in IN
Practice address
9800 Valparaiso Dr
Munster, IN 46321-4040
Phone
(219) 934-9847
Fax
(241) 993-4984
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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 05003890A IN Primary

Addresses

Primary practice location

9800 Valparaiso Dr
Munster, IN 46321-4040

Mailing address

9800 Valparaiso Dr
Munster, IN 46321-4040
Phone (219) 934-9847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05003890AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Hammond Clinic LLC Past Accepting new patients
Doctors on Call LLC Physical Therapist PastSince Jun 1, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1982833612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 VALPARAISO DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214040",
            "telephone_number": "219-934-9847",
            "fax_number": "241-993-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 VALPARAISO DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214040",
            "telephone_number": "219-934-9847",
            "fax_number": "241-993-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "MOHAMED",
        "middle_name": "SAEED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.