Individual provider Active NPI

Edwina Odette Lizardo Orbe

  • Physical Therapist
  • Pittsboro, NC
National Provider Identifier
1477096527
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23987 Issued in NC
Practice address
1210 Poplar Forest LN
Pittsboro, NC 27312-5181
Phone
(917) 647-6750
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62 021026 NY
Physical Therapist 225100000X P23987 NC Primary

Addresses

Primary practice location

1210 Poplar Forest LN
Pittsboro, NC 27312-5181

Mailing address

1210 Poplar Forest LN
Pittsboro, NC 27312-5181
Phone (917) 647-6750

Other names 1

  • Edwina Adrien Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161227000414 NY Practitioner - Physical Therapist in Private Practice 5294016622 Reassigns benefits to 1 organization
I20250828000747 NC Practitioner - Physical Therapist in Private Practice 5294016622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

3211 Shannon Rd
Suite 140
Durham, NC 27707-6324
Phone (919) 748-4980

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041026NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P23987NCMDPhysical Therapist
62 021026NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Jul 8, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

3211 Shannon Rd
Ste 140
Durham, NC 27707
Phone (919) 748-4980

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

111 E 210th St
Bronx, NY 10467

3202 Bainbridge Ave
Apt D
Bronx, NY 10467
Phone (718) 881-9507

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1477096527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 POPLAR FOREST LN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125181",
            "telephone_number": "917-647-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 POPLAR FOREST LN",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125181",
            "telephone_number": "917-647-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO ORBE",
        "first_name": "EDWINA",
        "middle_name": "ODETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 021026",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWINA",
            "last_name": "ADRIEN",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsboro, NC

Sources for this page

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