IndividualActive
Ibrahim Ellithy, CPO
NPI 1992305890 · Prosthetist · Sun City, AZ
Provider details
- NPI number
- 1992305890
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10615 W Thunderbird Blvd Ste D165
Sun City, AZ 85351-3033
Phone: (623) 977-2221
Approximate (ZIP-level) locationGet directions
Mailing address
17431 N 83rd Dr
Peoria, AZ 85382-8083
Registry dates
- Enumerated
- 2020-10-29
- Last updated
- 2020-10-29
- Certified
- 2020-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.