Edsel Icmat
NPI 1285425876 · Physical Therapy Assistant · Elk Grove, CA
Edsel Icmat is a Physical Therapy Assistant provider in Elk Grove, CA (NPI 1285425876).
Provider details
- NPI number
- 1285425876
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8565 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Edsel Icmat's NPI number?
- Edsel Icmat's National Provider Identifier (NPI) is 1285425876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edsel Icmat's specialty?
- Edsel Icmat is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Edsel Icmat located?
- Edsel Icmat's practice location on file with NPPES is 10063 Winkle Cir, Elk Grove, CA 95757-6275.
- What is Edsel Icmat's phone number?
- The practice phone number listed in the NPPES registry for Edsel Icmat is (510) 387-5178.
- Is Edsel Icmat's NPI active?
- Yes — Edsel Icmat's NPI (1285425876) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.