Individual provider Active NPI

Janell Edwards, PTA

  • Physical Therapy Assistant
  • Richmond, VA
National Provider Identifier
1447849500
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306605225 Issued in VA
Practice address
3514 Mayland CT
Richmond, VA 23233-1421
Phone
(804) 747-0003
Fax
(804) 747-0043
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306605225 VA Primary

Addresses

Primary practice location

3514 Mayland CT
Richmond, VA 23233-1421

Mailing address

3514 Mayland CT
Richmond, VA 23233-1421
Phone (804) 747-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306605225VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roberts Physical Therapy & Massage CurrentSince Jan 17, 2021 Accepting new patients

Locations

3514 Mayland Ct
Richmond, VA 23233
Phone (804) 270-6202

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1447849500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MAYLAND CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331421",
            "telephone_number": "804-747-0003",
            "fax_number": "804-747-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MAYLAND CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331421",
            "telephone_number": "804-747-0003",
            "fax_number": "804-747-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JANELL",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.