Kyle Edwards, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P20100 Issued in NC

Practice address

5832 Fayetteville Rd Ste 106
Durham, NC 27713-6291

Phone

(919) 410-8840

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina Center for Physical TherapyGroup PAC ID 0941456032, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North Carolina Center for Physical Therapy

  • Specialist
  • Durham, NC
  • NPI 1497017537
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1285222547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136291",
            "telephone_number": "919-410-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136291",
            "telephone_number": "919-410-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P20100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Rashawn Edwards, PT, DPT, ATC, CSCS
• Jennifer Smith Edwards, LPC
• Joi Lashawn Edwards, DPT
• Jonathan Edwards, LAC
• Kelly Gardner Edwards, RN, MSN, FNP/WHNP-BC
• Laurie Elizabeth Edwards, MS, CF-SLP
• Lindsay Atherton Edwards, MD
• Margaret Edwards
• Meghan Nicole Edwards, RD, LDN
• Nalatha H Edwards, NP

• Physical Medicine & Rehabilitation Physician in Durham, NC
• Providers in Durham, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.