Active NPI
Janelle Edwards
- Physical Therapist
- Lake Placid, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39167
- Practice address
- 1297 US 27 N
Lake Placid, FL 33852-7907 - Phone
- (863) 465-0568
- NPI assigned
- Feb 21, 2017
- Last updated
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39167 | FL | Primary |
| Physical Therapy Assistant | 225200000X |
Addresses
Primary practice location
1297 US 27 N
Lake Placid, FL 33852-7907
Mailing address
1421 Chloe Ter
Sebring, FL 33870-2060
Phone (715) 292-3119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39167 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ap Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
220 N Grove St
Merritt Island, FL 32953
Phone (321) 449-8880
3791 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 892-8502
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sequoia Care Outpatient Therapy Services
- Physical Therapist
- League City, TX
- NPI 1821823717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1568901759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 CHLOE TER",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702060",
"telephone_number": "715-292-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 US 27 N",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338527907",
"telephone_number": "863-465-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39167",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.