Individual provider Active NPI

Edgar Cedeno Ayeras, LPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1124243191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1-3412-2 Issued in TX
Practice address
7407 Beechnut St
Houston, TX 77074-4501
Phone
(713) 484-8132
Fax
(713) 484-8133
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1-3412-2 TX Primary

Addresses

Primary practice location

7407 Beechnut St
Houston, TX 77074-4501

Mailing address

1318 Sugar Creek Blvd
Sugar Land, TX 77478-3928
Phone (832) 228-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-3412-2TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Med Inc Physical Therapist Past Accepting new patients
Rehab Med-Care, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124243191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 SUGAR CREEK BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783928",
            "telephone_number": "832-228-5331",
            "fax_number": "713-484-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744501",
            "telephone_number": "713-484-8132",
            "fax_number": "713-484-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERAS",
        "first_name": "EDGAR",
        "middle_name": "CEDENO",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1-3412-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.