Organization Active NPI

Edge Physical Medicine Inc

  • General Practice Physician
  • Bethel, OH
National Provider Identifier
1750800843
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EDGE PHYSICAL MEDICINE INC
Practice address
3090 Angel Dr
Bethel, OH 45106
Phone
(513) 734-6555
NPI assigned
Sep 11, 2017
Last updated
Sep 11, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
EDGE PHYSICAL MEDICINE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Authorized official

Name
Rebecca Singh, DCNPI 1528114048
Title
President
Phone
(513) 671-0600

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
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

3090 Angel Dr
Bethel, OH 45106

Mailing address

1327 E Kemper Rd Ste 3100B
Cincinnati, OH 45246-3945
Phone (513) 670-0600

National Provider Directory

National Provider Directory
Part of
Edge Physical Medicine Inc

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 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1750800843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 E KEMPER RD STE 3100B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463945",
            "telephone_number": "513-670-0600",
            "fax_number": "513-671-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 ANGEL DR",
            "city": "BETHEL",
            "state": "OH",
            "postal_code": "45106",
            "telephone_number": "513-734-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE PHYSICAL MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGE PHYSICAL MEDICINE INC",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-671-0600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.