Medical Edge Healthcare Group, PA

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

MEDICAL EDGE HEALTHCARE GROUP, PA

Doing business as

Community Therapy Center of Bedford, PA

Practice address

321 Westpark Way
Euless, TX 76040-3902

Phone

(817) 283-9797

NPI assigned

Jul 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay Heighten

Title

President

Phone

(972) 739-3001

Specialties & licenses 1

Addresses

Other names 1

• Community Therapy Center of Bedford, PA Doing business as

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679591580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433405",
            "telephone_number": "972-739-3637",
            "fax_number": "972-739-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403902",
            "telephone_number": "817-283-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Therapy Center of Bedford, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan McCleskey, CLC, IBCLC
• Gary McCrory, LMFT
• Christa McFadden
• Jill Marie Meado, DDS
• Medcore MCHM LLC
• Medicare Medical Equipment
• Carla Alison Medina Martinez
• Jordan Minter Medina, M.S., CCC-SLP
• Medway Solutions LLC
• Charli Athena Mella, M.D.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Euless, TX
• Providers in Euless, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.