Edilberto C. Ilano III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022830 Issued in NY

Practice address

8114 Baxter Ave Apt 1H
Elmhurst, NY 11373-1309

Phone

(646) 752-6021

Fax

(718) 651-8489

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1396943361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 BAXTER AVE APT 1H",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731309",
            "telephone_number": "646-752-6021",
            "fax_number": "718-651-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 BAXTER AVE APT 1H",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731309",
            "telephone_number": "646-752-6021",
            "fax_number": "718-651-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILANO",
        "first_name": "EDILBERTO",
        "middle_name": "C.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02545260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Fernanda Idrobo Zapata, M.D.
• Igal Khorshidi, M.D., P.C.
• Jordan Almosara Ignacio, PT
• Maryann Ijares, OTR/L
• Tochukwu Gerald Emmanuel Ijeomah, MBBS
• Diana Ilyayeva, PHD
• Wichae Im, MD
• Linda Imafidon, MD
• Mohammed Mansoorul Imam, DDS
• Lidia L Imbassahy-Delgobbo, RN

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.