Individual provider · Type 1 NPI

Simon Effat Ibrahim, PTA

Physical Therapy Assistant · Chattanooga, TN

NPI number 1083990659 Active

Practice location

140 W 14th St
Chattanooga, TN 37402-4403

Call (423) 690-7220 Map

Fax (423) 301-6475

Mailing address

7240 Gregory Dr
Ooltewah, TN 37363-2507

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA3597 (TN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083990659

Simon Effat Ibrahim, PTA's National Provider Identifier is 1083990659, issued on Oct 27, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chattanooga, TN. The record was last updated on Oct 6, 2026.