Individual provider Active NPI

Edward Umheiser, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1306275979
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036816 Issued in NY
Practice address
670 6TH Ave
Brooklyn, NY 11215-6800
Phone
(718) 230-1180
NPI assigned
Nov 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036816 NY Primary

Addresses

Primary practice location

670 6TH Ave
Brooklyn, NY 11215-6800

Mailing address

PO Box 416501
Boston, MA 02241-6501
Phone (914) 249-4050

Other practice location 1

325 Garfield Pl
Brooklyn, NY 11215-2351
Phone (718) 230-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120000112 NY Practitioner - Physical Therapist in Private Practice 2567786718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

225 Merrick Rd
Lynbrook, NY 11563-2621
Phone (516) 559-8734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036816NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince May 1, 2021 Accepting new patients

Locations

2846 Steinway St
Astoria, NY 11103
Phone (347) 424-4503

973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180

142 Prospect Park W
Brooklyn, NY 11215
Phone (718) 230-1180

490 Driggs Ave
Brooklyn, NY 11211
Phone (347) 329-4572

1412 Cortelyou Rd
Brooklyn, NY 11226
Phone (347) 699-1011

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

4543 21st St
Long Island City, NY 11101
Phone (347) 589-8100

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1306275979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416501",
            "telephone_number": "914-249-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156800",
            "telephone_number": "718-230-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Garfield Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112152351",
            "country_code": "US",
            "telephone_number": "718-230-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMHEISER",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.