1. Home
  2. Directory
  3. New York
  4. Ronkonkoma
  5. Physical Therapist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. MARIAM ABDELAZIM IBRAHIM PT
NPI 1912821653
Physical Therapist - Geriatrics in Ronkonkoma, NY

Active since August 06, 2026
374 PORT AVE, RONKONKOMA, NY 11779(347) 793-2632 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mariam Abdelazim Ibrahim Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIAM ABDELAZIM IBRAHIM PT (NPI 1912821653) is an individual geriatrics provider in Ronkonkoma, New York, licensed in New York (040926) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1912821653
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameDR. MARIAM ABDELAZIM IBRAHIMCredential: PT
Location Address374 PORT AVERonkonkoma, NY 11779-4815
Mailing Address374 Port AveRonkonkoma, NY 11779-4815 · (347) 793-2632
Phone(347) 793-2632
Sole ProprietorYes
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1912821653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NY · 040926
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
374 PORT AVE, Ronkonkoma, NY 11779
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUSSEF IBRAHIM
Physical Therapy Assistant
374 PORT AVE
RONKONKOMA, NY 11779
Suffolk County (917) 517-6339

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 Mariam Ibrahim's NPI number?

The NPI number for Mariam Ibrahim is 1912821653. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Mariam Ibrahim located?

Mariam Ibrahim practices at 374 Port Ave, Ronkonkoma, NY 11779. The listed phone number is (347) 793-2632.

What is Mariam Ibrahim's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Mariam Ibrahim was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.