Active NPI
Emily Michelle Edelman, PTA
- Physical Therapy Assistant
- Moore, OK
National Provider Identifier
1780298240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3301
- Practice address
- 9201 S I 35 Service Rd
Moore, OK 73160-9046 - Phone
- (405) 601-4303
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3301 | OK | Primary |
Addresses
Primary practice location
9201 S I 35 Service Rd
Moore, OK 73160-9046
Mailing address
9201 S I 35 Service Rd
Moore, OK 73160-9046
Phone (405) 816-9801
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3301 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Pediatric Therapy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Oklahoma City, OK
- NPI 1417335225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1780298240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 S I 35 SERVICE RD",
"city": "MOORE",
"state": "OK",
"postal_code": "731609046",
"telephone_number": "405-816-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 S I 35 SERVICE RD",
"city": "MOORE",
"state": "OK",
"postal_code": "731609046",
"telephone_number": "405-601-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELMAN",
"first_name": "EMILY",
"middle_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "3301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.