IBS DIAGNOSTICS & PHYSICAL THERAPY PC
NPI 1174063168
Specialist in Brooklyn, NY

Active since February 24, 2017
1833 E 13TH ST, #CA, BROOKLYN, NY 11229(718) 627-3939(718) 627-8737 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ibs Diagnostics & Physical Therapy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IBS DIAGNOSTICS & PHYSICAL THERAPY PC (NPI 1174063168) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since February 2017. The organization lists Renata Kulishova, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174063168
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIBS DIAGNOSTICS & PHYSICAL THERAPY PC
Location Address1833 E 13TH ST, #CABrooklyn, NY 11229-2894
Mailing Address1833 E 13th St, #caBrooklyn, NY 11229-2894 · (718) 627-3939 · Fax (718) 627-8737
Fax(718) 627-8737
Organization SubpartNo
Authorized OfficialRenata KulishovaOffice Manager · (718) 627-3939
Enumeration DateFebruary 24, 2017
✔ NPI 1174063168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 017736
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1833 E 13TH ST, Brooklyn, NY 11229

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibs Diagnostics & Physical Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ibs Diagnostics & Physical Therapy PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1326043142
1833 E 13TH ST STE CA
Brooklyn, NY 11229
(718) 627-3939
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibs Diagnostics & Physical Therapy PC's NPI number?

The NPI number for Ibs Diagnostics & Physical Therapy PC is 1174063168. It was assigned to this organization in the NPPES registry on February 24, 2017.

Where is Ibs Diagnostics & Physical Therapy PC located?

Ibs Diagnostics & Physical Therapy PC is located at 1833 E 13th St #ca, Brooklyn, NY 11229. The listed phone number is (718) 627-3939.

What is Ibs Diagnostics & Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ibs Diagnostics & Physical Therapy PC enrolled in Medicare?

Yes. Ibs Diagnostics & Physical Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ibs Diagnostics & Physical Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Ibs Diagnostics & Physical Therapy PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ibs Diagnostics & Physical Therapy PC was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.