Edmond Benedict Mustera, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

025742-1 Issued in NY

Practice address

62 Bryant Ave
White Plains, NY 10605-1627

Phone

(914) 233-6979

NPI assigned

Oct 17, 2008

Sex

Male

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sprint Health Services, LLC

  • Early Intervention Provider Agency
  • White Plains, NY
  • NPI 1124565254
  NPD (past) Authorized official
• Hudson in Home Physical Therapy and Occupational Therapy PLLC

  • Physical Rehabilitation Occupational Therapist
  • Bronx, NY
  • NPI 1366197758

  Pediatrics

  NPD

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1891947172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BRYANT AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051627",
            "telephone_number": "914-233-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BRYANT AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051627",
            "telephone_number": "914-233-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTERA",
        "first_name": "EDMOND BENEDICT",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "025742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Murphy
• Mary Patricia Murphy, COTA
• Alicia R Murray, D.O.
• Edward F Murray
• Mythili Murthy, M.D.
• Mario Mutic, MD
• Allison Schecter Myers, DDS
• Yoojin NA, M.D.
• Sarah Leah Nachimson, PSYD
• Jessica Nacinovich, OT

• Pediatric Physical Therapist in White Plains, NY
• Providers in White Plains, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.