Active NPI
Stephanie Edano
- Physical Therapist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04955701
- Practice address
- 2705 Williamsbridge Rd
Bronx, NY 10469-4109 - Phone
- (718) 231-5600
- Fax
- (347) 980-2471
- NPI assigned
- Jul 11, 2023
- 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 Therapist | 225100000X | 04955701 | NY | Primary |
Addresses
Primary practice location
2705 Williamsbridge Rd
Bronx, NY 10469-4109
Mailing address
195 Hoover Rd Apt 3a
Yonkers, NY 10710-3439
Phone (917) 602-2426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Maple Ave
White Plains, NY 10601-5105
Phone (718) 514-6120
171 Kings Hwy
Brooklyn, NY 11223
195 Hoover Rd
Apt 3a
Yonkers, NY 10710-3439
280 W 231St St
Bronx, NY 10463-3940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049557 | NY | MD | General Practice Dentistry |
| 04955701 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current | Accepting new patients |
| Theradynamics Rehab. PT, OT & SLP, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
280 W 231st St
Bronx, NY 10463
Phone (718) 548-1212
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
18716 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-1288
100 Maple Ave
White Plains, NY 10601
Phone (914) 390-0080
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.
-
- Physical Therapy Clinic/Center
- Bronx, NY
- NPI 1912463399
Physical Therapist
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1992483739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 HOOVER RD APT 3A",
"city": "YONKERS",
"state": "NY",
"postal_code": "107103439",
"telephone_number": "917-602-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 WILLIAMSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104694109",
"telephone_number": "718-231-5600",
"fax_number": "347-980-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDANO",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "04955701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.