Mariel Alexandra Edelman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42458 Issued in FL

Practice address

1601 6TH St SE Ste B
Winter Haven, FL 33880-4605

Phone

(863) 294-0350

NPI assigned

Dec 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1629894944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SOFIA LN",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338502553",
            "telephone_number": "407-921-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 6TH ST SE STE B",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-294-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "MARIEL",
        "middle_name": "ALEXANDRA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan M Ebrahim, MD
• Ezequiel Echevarria Morfa
• Julio Echevarria Morfa
• Jordan William Eckert, M.D.
• Edcore Solutions LLC
• Linda Edler
• Edward Glavey D O LLC
• James Randall Edwards, M.D.
• Marguerite Edwards, ARNP
• Tracy Lee Eilers, APRN-C

• Physical Therapist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.