Adam David Edwards, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003860 Issued in PA

Practice address

800 E Lancaster Ave
Villanova, PA 19085

Phone

(610) 519-3349

NPI assigned

Feb 27, 2006

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1811963275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HERITAGE DR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194383958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E LANCASTER AVE",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "19085",
            "telephone_number": "610-519-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Morris Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190342004",
            "country_code": "US",
            "telephone_number": "215-646-3300 x238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllisann Kathryn Dioguardi, M.D.
• Julie Marie Dipaolo, PT, DPT, OCS
• Armand Diyenno, LCSW
• Cornelius Michael Donohue, DPM
• Tara Pinky Duggal, LAPC, ATR-P
• Robert Esgro, R.PH., ESQ.
• Bijan Etemad, M.D.
• Gity Banan Etemad, M.D.
• Samuel Shaw Fager, MD
• Allison S. Fanelli, DO

• Athletic Trainer in Villanova, PA
• Providers in Villanova, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.