Active Mobility Physical Therapy PC
NPI 1235995408ActiveOrganization· Physical Therapist· Bethpage, NY
Physical Therapist in Bethpage, New York, registered in NPPES in February 2024. The authorized official on file is Khurshid Ibrahimi, PT, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235995408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2024 |
| Last updated in NPPES | Jul 30, 2025 |
| Certified by provider | Jul 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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