Individual provider · Type 1 NPI

Peter Ibrahim, OTR/L

Occupational Therapist · Ridgewood, NY

NPI number 1104794072 Active

Practice location

6055 68th Rd
Ridgewood, NY 11385-5156

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X030681 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104794072

Peter Ibrahim, OTR/L's National Provider Identifier is 1104794072, issued on Oct 23, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 23, 2025.