NPIMap

Organization Active NPI

Foundation Health Physical Therapy

Doing business as Edge Physical Therapy

  • Physical Therapist
  • Frisco, TX
National Provider Identifier
1629002746
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
657780000 Issued in TX
Legal business name
FOUNDATION HEALTH PHYSICAL THERAPY
Doing business as
Edge Physical Therapy
Practice address
8380 Warren Pkwy
502
Frisco, TX 75034-4198
Phone
(214) 618-8075
Fax
(214) 618-8055
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Mr. Shane Hernandez, MPT
Title
Director
Phone
(214) 618-8075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 657780000 TX Primary

Addresses

Primary practice location

8380 Warren Pkwy
502
Frisco, TX 75034-4198

Mailing address

8380 Warren Pkwy
502
Frisco, TX 75034-4198
Phone (214) 618-8075

Other names 1

  • EDGE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

11500 State Highway 121
#B
Frisco, TX 75035
Phone (214) 618-8075

8380 Warren Pkwy
Ste 502
Frisco, TX 75034
Phone (214) 618-8075

11500 State Highway 121
Ste 310
Frisco, TX 75035
Phone (214) 618-8075

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1629002746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY",
            "address_2": "502",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344198",
            "telephone_number": "214-618-8075",
            "fax_number": "214-618-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 WARREN PKWY",
            "address_2": "502",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344198",
            "telephone_number": "214-618-8075",
            "fax_number": "214-618-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-618-8075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "657780000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.