Michael S Edwards, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03472 Issued in RI

Practice address

69 Burlingame Rd
Golf Academy With Todd Campbell
Cranston, RI 02921

Phone

(401) 864-0112

NPI assigned

Feb 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shore Golf Performance & Physical Therapy

  dba Shore Golf Performance

  • Orthopedic Physical Therapist
  • Cranston, RI
  • NPI 1073257184
  NPD Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1740728435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 POST RD",
            "address_2": "SUITE 114 PMB 362",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-712-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BURLINGAME RD",
            "address_2": "GOLF ACADEMY WITH TODD CAMPBELL",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02921",
            "telephone_number": "401-864-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16901",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Edge, LICSW
• Edgewood Medical LLC
• Sofia Edlund-Wynn
• Edward T. Ferry, DDS Inc
• Merle Edwards-Orr
• Ef Advantage LLC
• Eniayo Egberongbe
• Yul Ejnes, MD
• Cary R Ekelund, LCMT
• Dana R Ekelund, LMT,CNMT

• Physical Therapist in Cranston, RI
• Providers in Cranston, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.