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

Mr. Edwin Dale Landon Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1437407764

Mr. Edwin Dale Landon Jr., PTA is a Physical Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

428 Bridge St NW
Grand Rapids, MI 49504-5322
Phone: (616) 451-4284
Fax: (616) 451-4811
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 55020002800 (MI)

Record details

NPI number1437407764
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 16, 2012
Last updated in NPPESAugust 16, 2012

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