Active NPI
Kimberly Dawn Edwards, LPTA
- Physical Therapy Assistant
- Bassett, VA
National Provider Identifier
1851623045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602705
- Practice address
- 282 Woodberry Rd
Bassett, VA 24055-3722 - Phone
- (276) 734-5731
- NPI assigned
- Feb 12, 2010
- Last updated
- Feb 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602705 | VA | Primary |
Addresses
Primary practice location
282 Woodberry Rd
Bassett, VA 24055-3722
Mailing address
282 Woodberry Rd
Bassett, VA 24055-3722
Phone (276) 734-5731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602705 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1851623045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WOODBERRY RD",
"city": "BASSETT",
"state": "VA",
"postal_code": "240553722",
"telephone_number": "276-734-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WOODBERRY RD",
"city": "BASSETT",
"state": "VA",
"postal_code": "240553722",
"telephone_number": "276-734-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bassett, VA
- Edrie Cook, SPEECH LANGUAGE PATH
- County Line Counselors
- County Line Enhancement Services (County Line Community Services)
- Jordan Cox, DPT
- Bertram Davis
- Family Discount Pharmacy, Inc. (Family Pharmacy 1)
- Family Preservation Services, Inc
- Family Preservation Services, Inc
- Fatade Health and Medical Center
- Holly Elaine Flippin, MSN, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.