Active NPI
Elkoush Ihab Taha PT PC
- Rehabilitation Clinic/Center
- Brooklyn, NY
National Provider Identifier
1205010527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 018307
- Legal business name
- ELKOUSH IHAB TAHA PT PC
- Practice address
- 1473 Sterling PL
Brooklyn, NY 11213 - Phone
- (718) 756-8979
- Fax
- (347) 663-8881
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ihab Taha Elkoush, D.P.T
- Title
- Owner
- Phone
- (718) 756-8979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 018307 | NY | Primary |
Addresses
Primary practice location
1473 Sterling PL
Brooklyn, NY 11213
Mailing address
1473 Sterling PL
Brooklyn, NY 11213-3001
Phone (718) 756-8979
Other practice location 1
1135 Eastern Pkwy
Suite#5
Brooklyn, NY 11213-4107
Phone (718) 756-8979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180604000144 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7214017425 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
1135 Eastern Pkwy
#5
Brooklyn, NY 11213
Phone (718) 756-8979
1135 Eastern Pkwy
Ste 5
Brooklyn, NY 11213
Phone (718) 756-8979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527033600000",
"number": "1205010527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1473 STERLING PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133001",
"telephone_number": "718-756-8979",
"fax_number": "347-663-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1473 STERLING PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11213",
"telephone_number": "718-756-8979",
"fax_number": "347-663-8881"
}
],
"practiceLocations": [
{
"address_1": "1135 Eastern Pkwy",
"address_2": "SUITE#5",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112134107",
"country_code": "US",
"telephone_number": "718-756-8979",
"fax_number": "718-756-8979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELKOUSH IHAB TAHA PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2018-05-23",
"status": "A",
"authorized_official_last_name": "ELKOUSH",
"authorized_official_first_name": "IHAB",
"authorized_official_middle_name": "TAHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-756-8979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.T"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NY",
"license": "018307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.