Individual provider Active NPI

Janelle Edwards

  • Physical Therapist
  • Lake Placid, FL
National Provider Identifier
1568901759
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39167 Issued in FL
Practice address
1297 US 27 N
Lake Placid, FL 33852-7907
Phone
(863) 465-0568
NPI assigned
Feb 21, 2017
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20221101002856 FL Practitioner - Physical Therapist in Private Practice 1355718503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39167FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Physical Therapist CurrentSince Dec 8, 2024 Accepting new patients
Ap Therapy LLC Physical Therapist CurrentSince Dec 8, 2024 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.

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.

Verify at the official NPI Registry.