Ibrahim Chaz Abdullah, D.P.T.
NPI 1104088368ActiveIndividual· Physical Therapist· Baltimore, MD
Physical Therapist (D.P.T.) with Maryland Luna Care Physical Therapy LLC and 1 other group, practicing in Baltimore, Maryland. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1104088368 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T. |
| Sole proprietor | No |
| NPI issued | Jun 30, 2008 |
| Last updated in NPPES | Dec 18, 2023 |
| Certified by provider | Dec 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 22590 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (DC); Practitioner - Physical Therapist in Private Practice (MD) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Maryland Luna Care Physical Therapy LLCChevy Chase, MD · 131 clinicians
- Medstar Health Physical Therapy at Home LLCColumbia, MD · 18 clinicians
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