Joshua Lawrence Edgemon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23803 Issued in FL

Practice address

7350 Dairy Rd
Zephyrhills, FL 33540-1354

Phone

(813) 364-5050

NPI assigned

Oct 16, 2017

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

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1316458581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 BOOTH RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335654921",
            "telephone_number": "813-732-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 DAIRY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401354",
            "telephone_number": "813-364-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGEMON",
        "first_name": "JOSHUA",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.