Individual provider Active NPI

Michael R Edgington, PT, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1376992297
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
130679 Issued in IA
Practice address
301 N Ankeny Blvd
Ankeny, IA 50023-1730
Phone
(800) 974-4378
Fax
(630) 515-1536
NPI assigned
Jun 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP042791T NE
Physical Therapist 225100000X 12277 AZ
Physical Therapist 225100000X 130679 IA Primary

Addresses

Primary practice location

301 N Ankeny Blvd
Ankeny, IA 50023-1730

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378

Other practice location 1

410 E 22nd St Ste 2
Fremont, NE 68025-2640
Phone (800) 974-4378 ext. 2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327002604 NE Practitioner - Physical Therapist in Private Practice 4183910870

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24014 W Renwick Rd
Unit 206
Plainfield, IL 60544-8711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients

Locations

6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

403 W Central Ave
Coolidge, AZ 85128
Phone (520) 424-2222

3050 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0626

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4530 E Shea Blvd
Ste 105
Phoenix, AZ 85028
Phone (480) 494-2050

301 N Ankeny Blvd
Ste 200
Ankeny, IA 50023
Phone (515) 965-1422

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

410 E 22nd St
Ste 2
Fremont, NE 68025
Phone 8009744378 ext. 2074

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1376992297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231730",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E 22nd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252640",
            "country_code": "US",
            "telephone_number": "800-974-4378 x2074",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGINGTON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "CP042791T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12277",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "130679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.