Organization Active NPI

Dean M Edwards DPT Inc

  • Physical Therapist
  • Lake Mary, FL
National Provider Identifier
1154722650
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEAN M EDWARDS DPT INC
Practice address
782 Silver Cloud Cir
# 204
Lake Mary, FL 32746-1535
Phone
(914) 320-3233
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Dean Mark Anthony Edwards Sr., DPT
Title
Ceo
Phone
(914) 320-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

782 Silver Cloud Cir
# 204
Lake Mary, FL 32746-1535

Mailing address

2350 Nautical Way
Apt 114
Winter Park, FL 32792-1257
Phone (914) 320-3233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1154722650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 NAUTICAL WAY",
            "address_2": "APT 114",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921257",
            "telephone_number": "914-320-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 SILVER CLOUD CIR",
            "address_2": "# 204",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461535",
            "telephone_number": "914-320-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN M EDWARDS DPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "MARK ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-320-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.