Active NPI
Amy M Edwards, PT
- Physical Therapist
- Lima, OH
National Provider Identifier
1649495102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7638
- Practice address
- 2758 W Market St
Lima, OH 45805-2120 - Phone
- (419) 228-7871
- Fax
- (419) 228-7872
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- 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 | PT7638 | OH | Primary |
Addresses
Primary practice location
2758 W Market St
Lima, OH 45805-2120
Mailing address
PO Box 79
Kalida, OH 45853-0079
Phone (419) 233-4173
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 |
|---|---|---|---|
| PT7638 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1649495102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79",
"city": "KALIDA",
"state": "OH",
"postal_code": "458530079",
"telephone_number": "419-233-4173",
"fax_number": "419-532-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458052120",
"telephone_number": "419-228-7871",
"fax_number": "419-228-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "AMY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT7638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.