Active NPI
Dean Mark Anthony Edwards, D.P.T.
- Physical Therapist
- Salisbury, NC
National Provider Identifier
1639488778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033001
- Practice address
- 1601 Brenner Ave
Salisbury, NC 28144-2515 - Phone
- (704) 638-9000
- NPI assigned
- Oct 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033001 | NY | Primary |
Addresses
Primary practice location
1601 Brenner Ave
Salisbury, NC 28144-2515
Mailing address
60 Edgebrook Est
Apt 5
Cheektowaga, NY 14227-2080
Phone (914) 320-3233
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033001 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wittmer Clinic of Chiropratic PA | Current | Accepting new patients |
Locations
5435 Lake Howell Rd
Winter Park, FL 32792
Phone (407) 677-7272
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.
-
- Rehabilitation Chiropractor
- Winter Park, FL
- NPI 1902103625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1639488778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 EDGEBROOK EST",
"address_2": "APT 5",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142272080",
"telephone_number": "914-320-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442515",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DEAN",
"middle_name": "MARK ANTHONY",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.