Active NPI
Lisa M Edelman, PTA
- Physical Therapy Assistant
- Manhattan, KS
National Provider Identifier
1205006830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1401834
- Practice address
- 2121 Meadowlark Rd
Manhattan, KS 66502-4556 - Phone
- (785) 770-7512
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1401834 | KS | Primary |
Addresses
Primary practice location
2121 Meadowlark Rd
Manhattan, KS 66502-4556
Mailing address
3000 Tuttle Creek Blvd Lot 7
Manhattan, KS 66502-7120
Phone (785) 770-7512
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 |
|---|---|---|---|
| 1401834 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1205006830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 TUTTLE CREEK BLVD LOT 7",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665027120",
"telephone_number": "785-770-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MEADOWLARK RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665024556",
"telephone_number": "785-770-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELMAN",
"first_name": "LISA",
"middle_name": "M",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "1401834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.