Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Ibrahim, OTR/L

Individual provider Occupational Therapist · NPI 1104794072

Peter Ibrahim, OTR/L is an Occupational Therapist in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

6055 68th Rd
Ridgewood, NY 11385-5156
Phone: (929) 261-7904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 030681 (NY)

Record details

NPI number1104794072
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 23, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing address6055 68th Rd, Ridgewood, NY 11385-5156

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