Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edsel Icmat

Individual provider Physical Therapy Assistant · NPI 1285425876

Edsel Icmat is a Physical Therapy Assistant in Elk Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

10063 Winkle Cir
Elk Grove, CA 95757-6275
Phone: (510) 387-5178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8565 (CA)

Record details

NPI number1285425876
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 14, 2025
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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