Edison Chiropractor Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

CH 6817 Issued in FL

Legal business name

EDISON CHIROPRACTOR CENTER INC

Practice address

6325 Presidential CT Ste 2
Fort Myers, FL 33919-3515

Phone

(239) 689-5555

Fax

(239) 689-5556

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William A Hall, DC

Title

Owner

Phone

(239) 689-5555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1356663371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 PRESIDENTIAL CT STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193515",
            "telephone_number": "239-689-5555",
            "fax_number": "239-689-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 PRESIDENTIAL CT STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193515",
            "telephone_number": "239-689-5555",
            "fax_number": "239-689-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON CHIROPRACTOR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-689-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "CH 6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Marie Mylika Eddie, RD
• Bonnie Louise Edgar I, OTR
• Breanna Rachelle Edge
• Nicole Pamela Edge, BCBA
• Timothy Edge
• Edison Mall Dental P.a
• Antavian Edison
• Keren Edison, RN
• Rhiannon Alexis Edman
• Eduardo Correa DDS PA

• Physical Therapy Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.