- Practice location
- 4831 S Laburnum Ave, Richmond, VA 23231-2713
- Phone
- 804-222-0745
- Fax
- 804-222-0748
- Last updated
- August 25, 2026
Mary Ibrahim is a Physical Therapist based in Richmond, VA. Mary Ibrahim practices in Richmond, VA and has the professional credentials of DPT. The NPI Number for Mary Ibrahim is 1194619353 and holds a License No. CP054196T (VA). The current practice location address for Mary Ibrahim is 4831 S Laburnum Ave, Richmond, VA 23231-2713 and can be reached out via phone at 804-222-0745 and via fax at 804-222-0748.
Provider Profile Details
- NPI Number
- 1194619353
- Provider Name
- Mary Ibrahim
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4831 S Laburnum Ave, Richmond, VA 23231-2713
- Phone Number
- 804-222-0745
- Fax Number
- 804-222-0748
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 4, 2025
- Last Update Date
- August 25, 2026
- Certification Date
- August 25, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4831 S Laburnum Ave
Richmond, VA 23231-2713 - City
- Richmond
- State
- Virginia
- Zip
- 23231-2713
- Phone Number
- 804-222-0745
- Fax Number
- 804-222-0748
Provider Business Mailing Address Details
- Address
- 2122 York RD Ste 300
Oak Brook, IL 60523-1925 - City
- Oak Brook
- State
- IL
- Zip
- 60523-1925
- Phone Number
- 630-575-6200
- Fax Number
- 410-648-4878
License Information
- License Number (1)
- CP054196T
- License State (1)
- VA
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 40QA02334900
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Richmond, VA
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Frequently Asked Questions
What is the NPI number of Mary Ibrahim, DPT?
The NPI number of Mary Ibrahim, DPT is 1194619353. It was assigned on June 4, 2025 and is currently active in the NPPES registry.
What is the specialty of Mary Ibrahim, DPT?
Mary Ibrahim, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VA under license number CP054196T.
Where does Mary Ibrahim, DPT practice?
The practice location is 4831 S Laburnum Ave, Richmond, VA 23231-2713. The office can be reached at 804-222-0745 (phone) or 804-222-0748 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194619353 directly on the NPPES registry website.