NPIMap

Organization Active NPI

Edwards and Associates Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Beulaville, NC
National Provider Identifier
1720670862
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EDWARDS AND ASSOCIATES PHYSICAL THERAPY
Practice address
159 Crossover Rd
Beulaville, NC 28518-8801
Phone
(910) 298-6455
Fax
(910) 298-6405
NPI assigned
Feb 10, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA REHABILITATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
John S Stephens, PTNPI 1629038138
Title
Owner
Phone
(910) 251-8607

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

159 Crossover Rd
Beulaville, NC 28518-8801

Mailing address

159 Crossover Rd
Beulaville, NC 28518-8801
Phone (910) 298-6455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000867 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9830507334 Receives reassigned benefits from 6 practitioners
Practice locations: Beulaville, NC

National Provider Directory

National Provider Directory
Part of
Carolina Rehabilitation Inc

Locations

159 Crossover Rd
Beulaville, NC 28518
Phone (910) 298-6455

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1720670862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CROSSOVER RD",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188801",
            "telephone_number": "910-298-6455",
            "fax_number": "910-298-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CROSSOVER RD",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188801",
            "telephone_number": "910-298-6455",
            "fax_number": "910-298-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS AND ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA REHABILITATION INC",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-251-8607",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beulaville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.