Charles H. Edwards, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00578 Issued in MO

Practice address

224 South Woods Millrd.
Suite 610 South
Chesterfield, MO 63017

Phone

(314) 205-6551

Fax

(314) 576-2371

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1700415171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 OLD FORESTER DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633674045",
            "telephone_number": "816-294-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SOUTH WOODS MILLRD.",
            "address_2": "SUITE 610 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-205-6551",
            "fax_number": "314-576-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHARLES",
        "middle_name": "H.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Hugh Eaves, PT
• Edgerley Dental LLC (Chesterfield Woodlake Dental and Prosthodontics)
• Paul Douglas Edgerley, D.D.S., MDS
• Kristin Leslie Edmonds, MM MA CCC-SLP
• Laura Ann Edmundson, MPT
• Emily Edwards, BCBA
• Jason Matthew Edwards, M.D. PH.D.
• Kimberly Edwards
• Phyllis A Edwards, CRNA
• Toni Edwards, FNP-C

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.