Active NPI
Nicole Downey Edwards, DPT
- Physical Therapist
- Plant City, FL
National Provider Identifier
1235409053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25526
- Practice address
- 2051 Walden Woods Dr
Plant City, FL 33563-9601 - Phone
- (813) 540-9683
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25526 | FL | Primary |
Addresses
Primary practice location
2051 Walden Woods Dr
Plant City, FL 33563-9601
Mailing address
9035 Bryan Dairy Rd
Largo, FL 33777-1104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1235409053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 BRYAN DAIRY RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337771104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 WALDEN WOODS DR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335639601",
"telephone_number": "813-540-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "NICOLE",
"middle_name": "DOWNEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2021-06-29",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.