Individual provider Active NPI

Stephen Blaine Edwards, PT

  • Orthopedic Physical Therapist
  • Ventura, CA
National Provider Identifier
1508971169
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 22601 Issued in CA
Practice address
3525 Loma Vista Rd Ste C
Ventura, CA 93003-3165
Phone
(805) 652-6955
Fax
(805) 652-6959
NPI assigned
Aug 21, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 22601 CA Primary

Addresses

Primary practice location

3525 Loma Vista Rd Ste C
Ventura, CA 93003-3165

Mailing address

5720 Ralston St Ste 200
Ventura, CA 93003-7844
Phone (805) 804-4168

Other practice location 1

2189 Eastman Ave
Ventura, CA 93003-5792
Phone (805) 639-2600

Other identifiers 1

IdentifierTypeStateIssuer
22601OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://venturaortho.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000993 CA Practitioner - Physical Therapist in Private Practice 1850331588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22601CAMDOrthopedic Physical Therapist
22601CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Aug 8, 2025 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 8, 2025 Accepting new patients

Locations

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1508971169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LOMA VISTA RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033165",
            "telephone_number": "805-652-6955",
            "fax_number": "805-652-6959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2189 Eastman Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930035792",
            "country_code": "US",
            "telephone_number": "805-639-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STEPHEN",
        "middle_name": "BLAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 22601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22601",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "3525 Loma Vista Rd Ste C",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930033165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.