Stephen Leron Edmonds, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305202617 Issued in VA

Practice address

5308 River Edge Rd
Norfolk, VA 23502-3509

Phone

(757) 971-3464

Fax

(757) 423-8298

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, FL, DC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Luna Care Physical Therapy LLCGroup PAC ID 0941615405, 89 clinicians

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 and National Provider Directory roles.

• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848

  DC

  Medicare reassignment Care Compare group NPD
• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Onsite Physical Therapy and Consultants, Inc.

  • In Home Supportive Care Agency
  • Norfolk, VA
  • NPI 1225273626

  Home Modifications

  NPD (past) Authorized official

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1164494977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 RIVER EDGE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023509",
            "telephone_number": "757-971-3464",
            "fax_number": "757-423-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 RIVER EDGE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023509",
            "telephone_number": "757-971-3464",
            "fax_number": "757-423-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "STEPHEN",
        "middle_name": "LERON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edifying Lives
• Scott Edington
• Donneshia Shanta Edmond, LPC
• Dottie Joyner Edmonds, MED/ CAGS
• Latonia V. Edmonds, LCSW
• Supakunya Edmonson, D.O.
• Francis Anthony Edquid
• Edward Goldenberg, MD PSC PC
• Edward Guyton, LCSW
• Edward J. Weisberg, D.D.S. & Associates PC

• Physical Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.