| Tarek Ibrahim, | |
|
180 State St Ste 225, Southlake, TX 76092-7632 | |
| (866) 839-6979 | |
| Not Available |
| Full Name | Tarek Ibrahim |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 45 Years |
| Location | 180 State St Ste 225, Southlake, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790449536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1086569 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Luna Care Physical Therapy Llc | 0648692723 | 202 |
| Provider Name | Baylor College Of Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarek Ibrahim, 180 State St Ste 225, Southlake, TX 76092-7632 Ph: () - | Tarek Ibrahim, 180 State St Ste 225, Southlake, TX 76092-7632 Ph: (866) 839-6979 |
Ginamar Magalhaes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1959 W Southlake Blvd Ste 180, Southlake, TX 76092 Phone: 972-532-3539 | |
Erin Goebel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108 | |
Mikaela Whatley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 E State Highway 114 Ste 101, Southlake, TX 76092 Phone: 469-919-6299 | |
Mrs. Lisa Alice Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Whitney Holmans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 682-651-1909 | |
Gabe Kyei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Surrey Ct, Southlake, TX 76092 Phone: 817-917-3048 | |
Jennifer Merimonti, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr., Southlake, TX 76092 Phone: 817-431-8668 |