NPIMap

Organization Active NPI

Edge Physical Therapy

Doing business as Edge Physical Therapy LLC

  • Clinic/Center
  • Cape Coral, FL
National Provider Identifier
1669046850
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EDGE PHYSICAL THERAPY
Doing business as
Edge Physical Therapy LLC
Practice address
5221 Pocatella CT
Cape Coral, FL 33904-5835
Phone
(239) 292-6498
NPI assigned
May 13, 2021
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Scott Allan Bradley Jr., PTNPI 1417516907
Title
Owner
Phone
(239) 244-3835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Clinic/Center 261Q00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5221 Pocatella CT
Cape Coral, FL 33904-5835

Mailing address

900 Tamiami TRL Unit 111
Punta Gorda, FL 33950-5513
Phone (941) 347-3650

Other practice location 1

17595 S Tamiami Trl Ste 108
Fort Myers, FL 33908-4500
Phone (239) 244-3835

Other practice location 2

11730 Arborwood Preserve Blvd
Fort Myers, FL 33913-9302
Phone (941) 347-3650

Other practice location 3

2250 Herons Glen Blvd
North Fort Myers, FL 33917-6717
Phone (239) 244-3835

Other practice location 4

900 Tamiami Trl Unit 111
Punta Gorda, FL 33950-5513
Phone (941) 347-3650

Other names 1

  • Edge Physical Therapy LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211211000025 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527458264 Receives reassigned benefits from 3 practitioners
Practice locations: Punta Gorda, FL; North Fort Myers, FL; Fort Myers, FL; Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

2250 Herons Glen Blvd
North Fort Myers, FL 33917
Phone (239) 244-3835

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1669046850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TAMIAMI TRL UNIT 111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505513",
            "telephone_number": "941-347-3650",
            "fax_number": "941-347-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 POCATELLA CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045835",
            "telephone_number": "239-292-6498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17595 S Tamiami Trl Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084500",
            "country_code": "US",
            "telephone_number": "239-244-3835",
            "fax_number": "239-244-3835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11730 Arborwood Preserve Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339139302",
            "country_code": "US",
            "telephone_number": "941-347-3650",
            "fax_number": "941-347-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Herons Glen Blvd",
            "address_purpose": "LOCATION",
            "city": "North Fort Myers",
            "state": "FL",
            "postal_code": "339176717",
            "country_code": "US",
            "telephone_number": "239-244-3835",
            "fax_number": "239-984-1343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Tamiami Trl Unit 111",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339505513",
            "country_code": "US",
            "telephone_number": "941-347-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-244-3835",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edge Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.