Jeffrey Lynn Edwards Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014851A Issued in IN

Practice address

1015 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8395

Phone

(812) 984-3020

Fax

(812) 590-8183

NPI assigned

Sep 20, 2016

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1376091215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 JEFFERSONVILLE COMMONS DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308395",
            "telephone_number": "812-984-3020",
            "fax_number": "812-590-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000010836",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014851A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Brooks Eckert, MD
• Marissa Edelman
• Leif Edlin, RBT
• Benjamin Ray Edwards
• Cassidy Edwards, PA-C
• Lynn Bouchard Edwards, LCSW
• Monyelle Edwards
• Parker Scott Edwards, OD
• John Bernard Eifler Jr., M.D.
• Nancy Jean Eklund, RN

• Physical Therapist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.