The Edge Physical Therapy and Sports Science Center

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

07110R Issued in LA

Legal business name

THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER

Practice address

2950 Fairfield Ave
Shreveport, LA 71104-1906

Phone

(318) 841-0696

Fax

(318) 841-0776

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anna E Means, PT, DPT, OCS

Title

Physical Therapist

Phone

(318) 841-0696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Means Moore, PT, DPT, OCS

  • Physical Therapist
  • Shreveport, LA
  • NPI 1003974874
  Medicare reassignment Care Compare group NPD
• Amy L Rinder, OTR/CHT

  • Occupational Therapist
  • Shreveport, LA
  • NPI 1952595274
  Medicare reassignment Care Compare group NPD
• Trent W Wierick, P.T.

  • Physical Therapist
  • Shreveport, LA
  • NPI 1932122330
  Medicare reassignment Care Compare group
• Justin Michael Boyd, PT, DPT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1174012330
  Medicare reassignment NPD
• Kelli S Snyder, DPT, PT

  • Physical Therapist
  • Shreveport, LA
  • NPI 1083179170
  Medicare reassignment NPD

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1114154184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711041906",
            "telephone_number": "318-841-0696",
            "fax_number": "318-841-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711041906",
            "telephone_number": "318-841-0696",
            "fax_number": "318-841-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "318-841-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "07110R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.