Ken Edelson, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA14560 Issued in FL

Practice address

5458 Town Center Rd
Suite 15
Boca Raton, FL 33486-1089

Phone

(561) 271-5886

Fax

(561) 496-1972

NPI assigned

Jan 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1215113188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 PINE GROVE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453822",
            "telephone_number": "561-271-5886",
            "fax_number": "561-496-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 15",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-271-5886",
            "fax_number": "561-496-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "KEN",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA14560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lyndon Eddy, MD
• Lauren Edele
• Catherine Frances Edelman, MS,RD,LD/N,CDE
• Ella M Edelman, LCSW
• Reed S Edelman, OD
• Susan Treby Edelstein, SLP
• Eden Medical Supply, LLC
• Martin Edward Edep, MD
• Gary J Edman, PHYSICIAN ASSISTANT
• Nayf Edrees, MD

• Massage Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.