IndividualActive
Lovan Edwards, PTA
NPI 1275197568 · Physical Therapy Assistant · Massapequa, NY
Provider details
- NPI number
- 1275197568
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Roosevelt Ave
Massapequa, NY 11758-6824
Phone: (516) 451-9798
Street-level locationGet directions
Mailing address
90 Roosevelt Ave
Massapequa, NY 11758-6824
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2019-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.