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

Simon Effat Ibrahim, PTA

Individual provider Physical Therapy Assistant · NPI 1083990659

Simon Effat Ibrahim, PTA is a Physical Therapy Assistant in Chattanooga, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1480 E 3rd St
Chattanooga, TN 37404-2434
Phone: (423) 622-2459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA3597 (TN)

Record details

NPI number1083990659
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 27, 2011
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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