Individual provider Active NPI

Lauren Abratt Edelberg, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Sunrise, FL
National Provider Identifier
1114166725
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS10748 Issued in FL
Practice address
4800 N Nob Hill Rd
Sunrise, FL 33351-4722
Phone
(954) 577-3600
Fax
(954) 746-0261
NPI assigned
Feb 5, 2009
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS10748 FL Primary

Addresses

Primary practice location

4800 N Nob Hill Rd
Sunrise, FL 33351-4722

Mailing address

401 North Michigan Ave,
Ste 1200
Chicago, IL 60611-4264
Phone (312) 635-0973

Other identifiers 1

IdentifierTypeStateIssuer
OS10748OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000507 FL Practitioner - Physical Medicine and Rehabilitation 2062673999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 E Commercial Blvd
Suite 3744
Fort Lauderdale, FL 33308-3744
Phone (954) 295-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS10748FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L. Abratt, DO, PA Physical Medicine & Rehabilitation CurrentSince Oct 1, 2019 Accepting new patients
Pain Management Clinics of Florida, LLC Past Accepting new patients

Locations

2000 E Commercial Blvd
Ste 3744
Ft Lauderdale, FL 33308
Phone (954) 295-5488

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1114166725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTH MICHIGAN AVE,",
            "address_2": "STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "312-635-0973",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N NOB HILL RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514722",
            "telephone_number": "954-577-3600",
            "fax_number": "954-746-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRATT EDELBERG",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS10748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS10748",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.