Yngwie W Edeen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37377 Issued in FL

Practice address

7400 Red Bug Lake Rd
Oviedo, FL 32765-7154

Phone

(407) 971-2776

NPI assigned

Aug 25, 2017

Last updated

Nov 26, 2021By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, 1,260 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ability Health Services and Rehabilitation LP

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1447950340
  Medicare reassignment Care Compare group
• Tallahassee Orthopedic Clinic III PL

  dba Tallahassee Orthopedic Clinic

  • Medical Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1194778050
  Medicare reassignment
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Sanford, FL
  • NPI 1295279990
  NPD (past)
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Largo, FL
  • NPI 1376089649
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1245757749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST # 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "407-971-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657154",
            "telephone_number": "407-971-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 W State Road 434 Ste A",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504936",
            "country_code": "US",
            "telephone_number": "407-831-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDEEN",
        "first_name": "YNGWIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earnest Emergency Physicians, LLC
• Erica Easter, AP
• Edward Mitchell Eaton, LMHC
• Katherina Ivanova Echeverria, BCABA
• Mariana Echeverry
• Melissa Rianna Eilers, MA CCC/SLP
• Lisa Eisenberg, LMSW
• Tarek Eldawy, M.D.
• Elevate Children's Therapy
• Tracy Elfand, COTA

• Physical Therapist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.