Allen Edano, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1116853 Issued in TX

Practice address

5957 9TH Ave
Port Arthur, TX 77642-6204

Phone

(409) 982-8878

Fax

(409) 982-5119

NPI assigned

Oct 11, 2006

Last updated

Apr 11, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triangle TherapeuticsGroup PAC ID 2466443601, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Triangle Therapeutics

  • Specialist
  • Port Arthur, TX
  • NPI 1619995651

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southeast Texas Hematology and Oncology Center, PA

  • Specialist
  • Port Arthur, TX
  • NPI 1598749491
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1326137233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878",
            "fax_number": "409-724-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878",
            "fax_number": "409-982-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDANO",
        "first_name": "ALLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1116853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dungarvin Texas, LLC (Sheridan Living Center)
• Dungarvin Texas, LLC (Griffin Living Center)
• Rebecca Ann Dunlap
• Don Auffurth Duplan, MD
• Sherretta Renia Eaglin
• Alex Edgerly, D.D.S.
• Anne Rasmussen Edwards, R.PH.
• Ahmad Khalill El-Laham, PHARMD
• Elite Womens Healthcare PLLC
• Helen Elizundia Cuza, DDS

• Physical Therapist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.