DR. EDWARD UMHEISER DPT
NPI 1306275979
Physical Therapist in Brooklyn, NY

Active since November 05, 2013Accepts Medicare Assignment
94.3/100
CMS Quality Rating
670 6TH AVE, BROOKLYN, NY 11215(718) 230-1180 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edward Umheiser Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD UMHEISER DPT (NPI 1306275979) is an individual physical therapist in Brooklyn, New York, licensed in New York (036816) and active in the NPI registry since November 2013. He maintains a secondary practice location in Brooklyn and is a graduate of State University Of New York Downstate Medical Center (2013).

NPPES Registry Identity

NPI1306275979
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. EDWARD UMHEISERCredential: DPT
Location Address670 6TH AVEBrooklyn, NY 11215-6800
Mailing AddressPo Box 416501Boston, MA 02241-6501 · (914) 249-4050
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2013
Enumeration DateNovember 5, 2013
Last NPPES UpdateMay 13, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1306275979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 036816
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
670 6TH AVE, Brooklyn, NY 11215

Secondary Practice Location 1

Location 1325 Garfield PlBrooklyn, NY 11215-2351 · Phone (718) 230-1180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Umheiser Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567786718
PECOS Enrollment IDI20150120000112

Medicare Billing Reassignment

Medicare enrollment records show Edward Umheiser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
550 MAMARONECK AVE, SUITE 104
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • 335 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
61 services26 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
54 services25 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.3
Improvement Activities40

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist (Orthopedic)
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215
Physical Therapist
670 6TH AVE
BROOKLYN, NY 11215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Umheiser's NPI number?

The NPI number for Edward Umheiser is 1306275979. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Edward Umheiser located?

Edward Umheiser practices at 670 6th Ave, Brooklyn, NY 11215. The listed phone number is (718) 230-1180.

What is Edward Umheiser's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Edward Umheiser enrolled in Medicare?

Yes. Edward Umheiser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Edward Umheiser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Umheiser reassigns Medicare benefits to Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Harrison, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Umheiser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Umheiser accept?

Health plans from Oscar Health list Edward Umheiser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Umheiser was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.