MARY IBRAHIM DPT
NPI 1194619353
Physical Therapist in Richmond, VA
About Mary Ibrahim Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY IBRAHIM DPT (NPI 1194619353) is an individual physical therapist in Richmond, Virginia, licensed in Virginia (CP054196T) and active in the NPI registry since June 2025. She maintains a secondary practice location in Bayonne and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Ibrahim Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Ibrahim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cedar Knolls, NJ 07927
- Reassigned Medicare billing, New Jersey enrollment
- 220 clinicians in this Medicare group
East Hanover, NJ 07936
- Reassigned Medicare billing, New Jersey enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23231 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Ibrahim's NPI number?
The NPI number for Mary Ibrahim is 1194619353. It was assigned to this individual provider in the NPPES registry on June 4, 2025.
Where is Mary Ibrahim located?
Mary Ibrahim practices at 4831 S Laburnum Ave, Richmond, VA 23231. The listed phone number is (804) 222-0745.
What is Mary Ibrahim's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mary Ibrahim enrolled in Medicare?
Yes. Mary Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Ibrahim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ibrahim reassigns Medicare benefits to 2 organizations: United Sports Care & Physical Therapy (Cedar Knolls, NJ) and Sportscare Of America, PC (East Hanover, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Ibrahim was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.