Edward Delaney, PT, ATC/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005028110 Issued in MO

Practice address

19550 E 39TH St S
Suite 425
Independence, MO 64057-2303

Phone

(816) 698-8846

NPI assigned

Jun 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bionic Physical Therapy and Sports Performance, LLC

  • Physical Therapy Clinic/Center
  • Independence, MO
  • NPI 1073949616
  NPD (past)
• Core Physical Therapy and Rehabilitation, LLC

  • Physical Therapist
  • Kansas City, MO
  • NPI 1396048690
  NPD (past)

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1710183025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 NE CORAL CIRCLE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-729-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 425",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572303",
            "telephone_number": "816-698-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT, ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005028110",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2010017179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2005028110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - ATHLETIC TRAINING",
            "identifier": "2010017179",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedicated Missouri Holding, LLC
• Marsha Lee Dedrick, SLP
• Douglas O Dehning, MD
• Shannon Leigh Deitch, OD
• John M Delamarie, LCSW
• Roger Deloach
• Frank R Demarco, MD
• Debora Ann Demeter, MA LPC
• James P Demetriou, MD
• Jacquelyn Dennihan-Mulbah, PLMFT

• Physical Therapist in Independence, MO
• Providers in Independence, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.