Robbert Edelman

Individual provider Active NPI Physical Therapist · Chaffee, NY

NPI 1942535604 · NPPES record last updated Oct 14, 2009

Key facts

NPI
1942535604
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
029890 (NY)
Practice address
12395 Olean Rd
Chaffee, NY 14030-9510
Phone
(716) 496-5550
NPI assigned
Oct 13, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York PT Group PC Physical Therapist Past Accepting new patients
Western New York Physical and Occupational Therapy Group PLLC Physical Therapist Past
since Jan 1, 1999
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029890 NY Yes

Addresses

Primary practice location

12395 Olean Rd
Chaffee, NY 14030-9510

Mailing address

45 Hedgerow Dr
Apt. 6
Orchard Park, NY 14127-4422
Phone (716) 649-9418

Other providers in Chaffee, NY

All providers in Chaffee, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.