Individual provider Active NPI

Ilya Shikh, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1548876642
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046355 Issued in NY
Practice address
2748 Ocean Ave Apt 7
Brooklyn, NY 11229-4735
Phone
(718) 775-8966
Fax
(718) 866-1034
NPI assigned
Sep 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046355 NY Primary

Addresses

Primary practice location

2748 Ocean Ave Apt 7
Brooklyn, NY 11229-4735

Mailing address

2605 Avenue Y
Brooklyn, NY 11235-2014
Phone (718) 757-9247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908002359 NY Practitioner - Physical Therapist in Private Practice 0648676197 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2605 Ave Y
Brooklyn, NY 11235-2014
Phone (718) 578-4668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046355NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yk Physical Therapy PLLC Physical Therapist CurrentSince Feb 18, 2022 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince May 15, 2022 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

958 Nostrand Ave
Brooklyn, NY 11225
Phone (347) 423-9031

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1548876642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 AVENUE Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352014",
            "telephone_number": "718-757-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 OCEAN AVE APT 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294735",
            "telephone_number": "718-775-8966",
            "fax_number": "718-866-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKH",
        "first_name": "ILYA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046355",
            "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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.