Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stevanus Ibrahim, PT, DPT

Individual provider Physical Therapist · NPI 1285865832

Mr. Stevanus Ibrahim, PT, DPT is a Physical Therapist in West Covina, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1135 S Sunset Ave Ste 101
West Covina, CA 91790-3938
Phone: (626) 732-8351
Fax: (626) 732-8352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 35401 (CA)

Record details

NPI number1285865832
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJuly 30, 2009
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

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