Active NPI
Edda Evelyn Lomantas, P.T.
- Pediatric Physical Therapist
- Elmhurst, NY
National Provider Identifier
1194034876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 026888
- Practice address
- 8811 53Rd Ave FL 3
Elmhurst, NY 11373-4517 - Phone
- (732) 318-0238
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 026888 | NY | Primary |
Addresses
Primary practice location
8811 53Rd Ave FL 3
Elmhurst, NY 11373-4517
Mailing address
8811 53Rd Ave FL 3
Elmhurst, NY 11373-4517
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026888 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1194034876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 53RD AVE FL 3",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 53RD AVE FL 3",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734517",
"telephone_number": "732-318-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMANTAS",
"first_name": "EDDA",
"middle_name": "EVELYN",
"name_prefix": "Miss",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "026888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.