Organization Active NPI

Edelman Spine & Orthopaedic Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Dover, DE
National Provider Identifier
1831261700
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
J1-0001503 Issued in DE
Legal business name
EDELMAN SPINE & ORTHOPAEDIC PHYSICAL THERAPY, LLC
Practice address
99 Wolf Creek Blvd Ste 2
Dover, DE 19901-4968
Phone
(302) 734-8000
Fax
(302) 734-0102
NPI assigned
Nov 15, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
George T Edelman, PTNPI 1437138625
Title
Owner
Phone
(302) 734-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X J1-0001503 DE Primary

Addresses

Primary practice location

99 Wolf Creek Blvd Ste 2
Dover, DE 19901-4968

Mailing address

97 Commerce Way
Suite 101
Dover, DE 19904-8228
Phone (302) 734-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000437 DE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2668492968 Receives reassigned benefits from 10 practitioners
Practice locations: Dover, DE

National Provider Directory

National Provider Directory

Locations

97 Commerce Way
Ste 101
Dover, DE 19904
Phone (302) 724-6344

99 Wolf Creek Blvd
Dover, DE 19901

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831261700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 COMMERCE WAY",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199048228",
            "telephone_number": "302-734-8000",
            "fax_number": "302-734-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WOLF CREEK BLVD STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014968",
            "telephone_number": "302-734-8000",
            "fax_number": "302-734-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELMAN SPINE & ORTHOPAEDIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-734-8000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J1-0001503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.