Active NPI
Robbert Edelman
- Physical Therapist
- Chaffee, NY
National Provider Identifier
1942535604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029890
- Practice address
- 12395 Olean Rd
Chaffee, NY 14030-9510 - Phone
- (716) 496-5550
- NPI assigned
- Oct 13, 2009
- Last updated
- Oct 14, 2009
- Sex
- Male
- 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 Therapist | 225100000X | 029890 | NY | Primary |
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
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029890 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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 | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Depew, NY
- NPI 1881647261
-
- Physical Therapist
- Depew, NY
- NPI 1013188341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1942535604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HEDGEROW DR",
"address_2": "APT. 6",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141274422",
"telephone_number": "716-649-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 OLEAN RD",
"city": "CHAFFEE",
"state": "NY",
"postal_code": "140309510",
"telephone_number": "716-496-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELMAN",
"first_name": "ROBBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaffee, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.