Individual provider Active NPI

Edward Paul House, DC,PT

  • Physical Therapist
  • Seneca Falls, NY
National Provider Identifier
1679619068
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005096-1 Issued in NY
Practice address
2360 State Route 89
Seneca Falls, NY 13148-9425
Phone
(315) 568-3166
Fax
(315) 568-3700
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X X011325-1 NY
Physical Therapist 225100000X 005096-1 NY Primary

Addresses

Primary practice location

2360 State Route 89
Seneca Falls, NY 13148-9425

Mailing address

2401 Lower Lake Rd
Seneca Falls, NY 13148-9418
Phone (315) 651-6701

Other identifiers 1

IdentifierTypeStateIssuer
02216553MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011325-1NYMDRehabilitation Chiropractor
005096NYMDRegistered Dietitian
005096-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal City Physical Therapy, RLLP Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679619068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LOWER LAKE RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489418",
            "telephone_number": "315-651-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489425",
            "telephone_number": "315-568-3166",
            "fax_number": "315-568-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC,PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X011325-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005096-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.