Organization Active NPI

Edgecomb Health, PLLC

Doing business as Regenerative Edge Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Madison, CT
National Provider Identifier
1225735681
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EDGECOMB HEALTH, PLLC
Doing business as
Regenerative Edge Physical Therapy & Wellness
Practice address
200 Boston Post Rd Ste 3
Madison, CT 06443-2144
Phone
(860) 813-1848
Fax
(401) 210-4385
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Courtney EdgecombNPI 1518484872
Title
Owner/Manager
Phone
(502) 938-0076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

200 Boston Post Rd Ste 3
Madison, CT 06443-2144

Mailing address

544 Opening Hill Rd
Madison, CT 06443-1789

Other practice location 1

3074 Whitney Ave Ste 211
Hamden, CT 06518-2391
Phone (860) 813-1848

Other names 1

  • Regenerative Edge Physical Therapy & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3074 Whitney Ave
Ste 211
Hamden, CT 06518
Phone (203) 805-8873

200 Boston Post Rd
Ste 3
Madison, CT 06443
Phone (860) 813-1848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1225735681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 OPENING HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOSTON POST RD STE 3",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432144",
            "telephone_number": "860-813-1848",
            "fax_number": "401-210-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3074 Whitney Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065182391",
            "country_code": "US",
            "telephone_number": "860-813-1848",
            "fax_number": "401-210-4385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDGECOMB HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "EDGECOMB",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "502-938-0076"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Edge Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.