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Active NPI 1992305890 Individual Practitioner Male Practitioner

Ibrahim Ellithy , CPO

Prosthetist • Sun City, AZ

Professional Overview & Biography Verified Profile Summary

Ibrahim Ellithy, CPO is a registered healthcare professional specializing in Prosthetist in Sun City, AZ. Practice services are available at 10615 W THUNDERBIRD BLVD STE D165 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10615 W Thunderbird Blvd Ste D165

Sun City, AZ 853513033

Telephone 6239772221
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Sun City, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Sun City, AZ (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-29
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2020

Registered at 10615 W THUNDERBIRD BLVD STE D165, SUN CITY, AZ 853513033 (Tel: 6239772221)

📍
Updated Business Mailing Address October 29, 2020

Registered at 17431 N 83RD DR, PEORIA, AZ 853828083 (Tel: 6233020919)

👤
Provider Name / Credentials Updated October 29, 2020

Recorded as IBRAHIM ELLITHY, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2020

Orthotist

🟢
Initial NPI Registration & Enumeration October 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992305890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2020
Last Update: October 29, 2020
Sole Proprietor: No

Mailing Address

17431 N 83rd Dr

Peoria, AZ 853828083

Phone: 6233020919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.