Individual provider Active NPI

Emily Kathryn Edwards

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1720885692
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23832 Issued in NC
Practice address
8493 Caladenia Way NE
Leland, NC 28451-6487
Phone
(919) 796-9600
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23832 NC Primary

Addresses

Primary practice location

8493 Caladenia Way NE
Leland, NC 28451-6487

Mailing address

8493 Caladenia Way NE
Leland, NC 28451-6487
Phone (919) 796-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402000897 GA Practitioner - Physical Therapist in Private Practice 2668995416

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Campbell Univ School of Osteopathic Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

705 Breedlove Dr
Suite 300
Monroe, GA 30655-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23832NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Physical Therapy Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients

Locations

2735 Loganville Hwy
Ste B
Loganville, GA 30052
Phone (678) 404-7800

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1720885692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8493 CALADENIA WAY NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516487",
            "telephone_number": "919-796-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8493 CALADENIA WAY NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516487",
            "telephone_number": "919-796-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.