Dale Alwood Edwards, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-02107 Issued in KS

Practice address

208 W 2ND St
Goodland, KS 67735-1660

Phone

(785) 890-7517

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1699189530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ARROWHEAD ST",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013611",
            "telephone_number": "785-443-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 2ND ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351660",
            "telephone_number": "785-890-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DALE",
        "middle_name": "ALWOOD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02107",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Sherman (Sherman County Health Department)
• Travis M Daise, MD
• David S Pfoff MD PC
• Perry William Desbien, MSN
• Eaglemed LLC
• Janna K Eisenbart, ARNP
• Jalyn Nicole Frewen, PHARMD
• Jessica Lynn Gittinger, APRN, FNP-C
• Gleason Chiropractic, P.a.
• Torrence Michelle Gleason, D.C.

• Physical Therapy Assistant in Goodland, KS
• Providers in Goodland, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.