Svetlana Kibrik, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021229 Issued in NY

Practice address

1543 West 1St Street
Apt F1
Brooklyn, NY 11204

Phone

(917) 769-9986

Fax

(347) 254-6083

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 2550 Boston PT PC

  • Physical Therapist
  • Bronx, NY
  • NPI 1942560834
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2009.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1255367405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 WEST 1ST STREET",
            "address_2": "APT F1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "917-769-9986",
            "fax_number": "347-254-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 WEST 1ST STREET",
            "address_2": "APT F1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "917-769-9986",
            "fax_number": "347-254-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBRIK",
        "first_name": "SVETLANA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021229",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA0116300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02284655",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ki Proofessional Services Inc
• Nadia Kiani
• Serge Kianovski, D.P.T.
• Irina Kiblitsky, M.D.
• Ayelech Agune Kibret, MD
• Bella Balar Kichikov
• Kishtya Kichikov
• Kid Speech Language Pathology P.C.
• Kidault Kar LLC
• Kidcare Associates, Inc.

• All providers in Brooklyn, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.

Verify at the official NPI Registry.