David Lee Edwards, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2374 Issued in MS

Practice address

711 Avignon Dr
Ridgeland, MS 39157

Phone

(601) 605-6777

Fax

(601) 605-8869

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1093851156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WILEY RD",
            "city": "CALEDONIA",
            "state": "MS",
            "postal_code": "397408572",
            "telephone_number": "662-356-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 AVIGNON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-605-6777",
            "fax_number": "601-605-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Longmire Duncan, PHARMD, BCGP
• Neelima Gutti Duncan, PH.D.
• Markevia Amiya Dunn
• Stefanie Eason, PT
• Aulora Monay Edwards
• Margaret Edwards, OTR/L
• Vershern Edwards
• Verthena Edwards
• Efficient Results Visionary Enterprises LLC (ERVEnterprise Lifestyle Wellness Solutions)
• Egocare Mobility LLC

• Physical Therapy Assistant in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.