Edgar James Klixbull, DPT, OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5347 Issued in SC

Practice address

5900 N Kings Hwy Ste E
Myrtle Beach, SC 29577-2326

Phone

(843) 839-4900

Fax

(843) 604-2857

NPI assigned

Sep 24, 2006

Last updated

Nov 9, 2020By the provider in NPPES

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

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
  • NPI 1790302115

  Physical Therapist

  Medicare reassignment NPD
• Indigo Therapy Specialists, LLC

  • Physical Therapist
  • Murrells Inlet, SC
  • NPI 1194960872
  NPD (past) Authorized official
• JLC Rehab, Inc.

  dba Indigo Physical Therapy

  • Physical Therapist
  • Murrells Inlet, SC
  • NPI 1801865399
  NPD (past) Authorized official
• Orthopedic Associates of Naperville SC

  • Specialist
  • Naperville, IL
  • NPI 1699892794
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1114027778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N KINGS HWY STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772326",
            "telephone_number": "843-839-4900",
            "fax_number": "843-604-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N KINGS HWY STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772326",
            "telephone_number": "843-839-4900",
            "fax_number": "843-604-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIXBULL",
        "first_name": "EDGAR",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KLF Counseling & Consulting, PA
• Deborah Ann Klick, LMSW
• Heather Klingaman, H.A.S
• Anna Kerr Klipowicz, LISW
• Jessica Klippert, LISW- CP
• Vincent T Klomps, PA-C
• Brady Austin Kluge, MD
• Vanessa Louise Knapp, DO
• Dana Loraine Knight, ABOP
• Jacqueline Ann Knipper, MS RPT

• Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.