Active NPI
Matthew R Edwards, DPT
- Physical Therapist
- York, PA
National Provider Identifier
1255761078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023273
- Practice address
- 2821 E Prospect Rd
York, PA 17402-9213 - Phone
- (717) 840-1874
- Fax
- (717) 840-0968
- NPI assigned
- Nov 14, 2013
- Last updated
- Nov 5, 2014
- Sex
- Male
- 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 | PT023273 | PA | Primary |
Addresses
Primary practice location
2821 E Prospect Rd
York, PA 17402-9213
Mailing address
2821 E Prospect Rd
York, PA 17402-9213
Phone (717) 840-1874
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023273 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1255761078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 E PROSPECT RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029213",
"telephone_number": "717-840-1874",
"fax_number": "717-840-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 E PROSPECT RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029213",
"telephone_number": "717-840-1874",
"fax_number": "717-840-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MATTHEW",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
- Stephanie Edens, COTA/L
- Edgewood Podiatry Medical Center PC (Associated Foot & Ankle Specialists)
- Nona Lee Edwards Thomas, MD
- Earl Wilbert Edwards, MD
- Lisa Marie Edwards, PT
- Nashaya Nekol Edwards
- Sarah Jane Edwards, DO
- Daniel Nathaniel Efiom-Ekaha, MD
- Judith Efiom-Ekaha
- Taylor Nicole Egenrieder, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.