Kelsey Ede

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

21 Spurs LN Ste 340
San Antonio, TX 78240-1680

Phone

(210) 798-8585

Fax

(210) 798-8580

NPI assigned

Apr 25, 2019

Sex

Female

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

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

• Sports Medicine Associates of San Antonio, PA

  dba Center for Physical Therapy & Sports Performance

  • Physical Therapist
  • San Antonio, TX
  • NPI 1609124312
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1093379026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "210-590-4000",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401680",
            "telephone_number": "210-798-8585",
            "fax_number": "210-798-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5917 Broadway St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782095235",
            "country_code": "US",
            "telephone_number": "210-253-3450",
            "fax_number": "210-477-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDE",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Davis, DPM, PLLC
• Eddie Davis, DPM, PLLC (Alamo Family Foot & Ankle Care)
• Eddie Davis, DPM, PLLC (Alamo Family Foot & Ankle Care)
• Mistie Eddie
• Florence F Eddins-Folensbee, MD
• John Edeen III, M.D.
• Jerome Edelson, MD
• Edelweiss Counseling Center, LLC
• Esther Edemuzor
• Eder Home Care, LLC

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.