Ian Edwards

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27618 Issued in MD

Practice address

1131 Baltimore Pike
Bel Air, MD 21014-5132

Phone

(410) 838-6070

Fax

(410) 838-6961

NPI assigned

Aug 23, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smith & Prothero Physical Therapy LLC

  • Occupational Therapist
  • Havre de Grace, MD
  • NPI 1942844832
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1023665056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807A S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262",
            "fax_number": "410-939-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145132",
            "telephone_number": "410-838-6070",
            "fax_number": "410-838-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny L Eberts, LCPC
• Jayne Margaret Eckenrode, DDS
• Laurence Marc Edelman, M.D.
• Karen Leslie Eder, ATC
• Evelyn Page Edmunds, PH.D.
• Kayla Danielle Edwards
• Philip Effron, M.D.
• Ehome Aftercare
• Ehome Counseling
• Ehome Counseling Management Partners

• Physical Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.