Individual provider Active NPI

Debra Diane Edwards, P.T.

  • Orthopedic Physical Therapist
  • Falcon, CO
National Provider Identifier
1144429135
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4493 Issued in CO
Practice address
7362 McLaughlin Rd
Falcon, CO 80831-4713
Phone
(719) 358-3866
Fax
(719) 559-1800
NPI assigned
Jul 11, 2007
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4493 CO Primary

Addresses

Primary practice location

7362 McLaughlin Rd
Falcon, CO 80831-4713

Mailing address

7362 McLaughlin Rd
Falcon, CO 80831-4713
Phone (719) 358-3866

Other identifiers 1

IdentifierTypeStateIssuer
9000176620MedicaidCO

Other names 1

  • Debra Diane Brunel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000826 CO Practitioner - Physical Therapist in Private Practice 9335232883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Rehab SolutionsGroup PAC ID 6204057748, 6 clinicians

Practice addresses (Care Compare)

7362 McLaughlin Rd
Falcon, CO 80831-4713
Phone (719) 358-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4493COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Rehab Solutions Orthopedic CurrentSince Dec 1, 2024 Accepting new patients
Joint Effort Physical Therapy LLC CurrentSince Jul 16, 2007 Accepting new patients
Joint Effort Physical Therapy LLC CurrentSince Jul 16, 2007 Accepting new patients

Locations

202 E Cheyenne Mountain Blvd
Ste N
Colorado Springs, CO 80906
Phone (719) 527-9331

2835 Dublin Blvd
Colorado Springs, CO 80918
Phone (719) 533-1318

2989 Broadmoor Valley Rd
Ste D
Colorado Springs, CO 80906
Phone (719) 203-4723

7362 McLaughlin Rd
Peyton, CO 80831
Phone (719) 358-3866

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1144429135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 MCLAUGHLIN RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314713",
            "telephone_number": "719-358-3866",
            "fax_number": "719-559-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 MCLAUGHLIN RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314713",
            "telephone_number": "719-358-3866",
            "fax_number": "719-559-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DEBRA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "4493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176620",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BRUNEL",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falcon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.