Edge Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EDGE PHYSICAL THERAPY INC

Practice address

1695 S San Jacinto St
Ste C
San Jacinto, CA 92583

Phone

(951) 665-1510

Fax

(951) 665-1515

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Evan Shuey, PTANPI 1013053040

Title

Physical Therapist Assistant

Phone

(909) 831-6867

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Evan Shuey

  • Physical Therapy Assistant
  • San Jacinto, CA
  • NPI 1013053040
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1760503221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOLORES CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745567",
            "telephone_number": "951-665-1510",
            "fax_number": "951-665-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO ST",
            "address_2": "STE C",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92583",
            "telephone_number": "951-665-1510",
            "fax_number": "951-665-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SHUEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "909-831-6867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Duffy
• Megan Nicole Dunnington
• VI-Khoi K. Duong, DDS
• Kiera Sarai Duran
• E&T Behavioral Advisory
• Lawrence Ekhaguere
• Tonnette NA Ellis
• Ahmed Mahmoud Elsherif
• Elvia Juarez a Dental Corporation
• Darlene S. Emerine, MFTI

• Physical Therapy Clinic/Center in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.