Active NPI
Nicole Edens, MPT
- Pediatric Physical Therapist
- Monroe, LA
National Provider Identifier
1710956420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 04142
- Practice address
- 2115 Forsythe Ave
Monroe, LA 71201-3642 - Phone
- (318) 388-1303
- Fax
- (318) 388-1707
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 04142 | LA | Primary |
Addresses
Primary practice location
2115 Forsythe Ave
Monroe, LA 71201-3642
Mailing address
2115 Forsythe Ave
Monroe, LA 71201-3642
Phone (318) 388-1303
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04142 | LA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Hopes Pediatric Therapy, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Monroe, LA
- NPI 1982673653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710956420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 FORSYTHE AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712013642",
"telephone_number": "318-388-1303",
"fax_number": "318-388-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 FORSYTHE AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712013642",
"telephone_number": "318-388-1303",
"fax_number": "318-388-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDENS",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "LA",
"license": "04142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.