Active NPI
Roger Charles Edwards, MSPT
- Physical Therapist
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017546
- Practice address
- 215 E Main St Ste B
Northville, MI 48167-1681 - Phone
- (248) 349-9339
- NPI assigned
- Feb 12, 2007
- Last updated
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013463 | IL | |
| Physical Therapist | 225100000X | 5501017546 | MI | Primary |
Addresses
Primary practice location
215 E Main St Ste B
Northville, MI 48167-1681
Mailing address
996 Elmsmere Dr
Northville, MI 48167-1065
Phone (305) 926-7233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070013463 | IL | MD | Physical Therapist |
| 5501017546 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Northville Physical Rehabilitation, P.C. | Physical Therapist | Current | Accepting new patients |
Locations
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141
2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820
1940 S Telegraph Rd
Bloomfield Hills, MI 48302
Phone (248) 409-0490
3050 Union Lake Rd
Ste 3C
Commerce Township, MI 48382
Phone (248) 363-8267
1485 N Michigan Ave
Ste 100
Howell, MI 48843
Phone (517) 545-5880
215 E Main St
Ste B
Northville, MI 48167
Phone (248) 349-9339
43443 Grand River Ave
Ste 200
Novi, MI 48375
Phone (248) 305-9200
Interoperability endpoints
- roger.edwards.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
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.
-
- Physical Therapist
- Northville, MI
- NPI 1982770673
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1740321611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 ELMSMERE DR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671065",
"telephone_number": "305-926-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MAIN ST STE B",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671681",
"telephone_number": "248-349-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ROGER",
"middle_name": "CHARLES",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013463",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.