Elizabeth Edmonds, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010113 Issued in MI

Practice address

2575 N Drake Rd
Kalamazoo, MI 49006-1358

Phone

(269) 342-0206

Fax

(269) 342-6103

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Peka Edmonds Other name

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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1184054173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490061358",
            "telephone_number": "269-342-0206",
            "fax_number": "269-342-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490061358",
            "telephone_number": "269-342-0206",
            "fax_number": "269-342-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "5348826626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEKA",
            "last_name": "EDMONDS",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eden Haven LLC
• Eric John Edewaard, MD
• Christopher Edicheria
• Alayne Edick
• Darwin Edmond
• Corrina Lashae Edmonson
• Educational & Developmental Consulting
• Kendra Edwards
• Morris David Edwards, PHD
• Ryan Edwards

• Physical Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.