Edmondson Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EDMONDSON PHYSICAL THERAPY, INC.

Practice address

423 Walnut St
East Liverpool, OH 43920-3129

Phone

(330) 386-5093

Fax

(330) 386-0571

NPI assigned

Jul 12, 2005

Last updated

Dec 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn E Edmondson, LPT

Title

Owner President

Phone

(330) 386-5093

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1467450536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 WALNUT ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203129",
            "telephone_number": "330-386-5093",
            "fax_number": "330-386-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WALNUT ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203129",
            "telephone_number": "330-386-5093",
            "fax_number": "330-386-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "330-386-5093",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM BC/BS PROVDER #",
            "identifier": "000000132452",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHABILICARE",
            "identifier": "A131408",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS PROV NUMBER",
            "identifier": "197528",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OHIO",
            "identifier": "551723127001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921220",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC PROVIDER",
            "identifier": "204068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Liverpool Health Department
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• East Liverpool Specialty Anesthesia LLC
• East Liverpool Speech and Hearing Aid Center, LLC
• Cary Anne Eckard, LPCC
• Ashlee E Edwards, MS ED, LPCC-S
• Elevating Mental Health & Wellness LLC
• Connor Elliott
• Trinity Nicole Ellis
• Emergency Associates of Eastern Ohio LLC

• Physical Therapy Clinic/Center in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.