Edge Therapies LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EDGE THERAPIES LLC

Practice address

11015 Passage Dr
Bradenton, FL 34211-2107

Phone

(401) 793-0195

NPI assigned

Mar 31, 2023

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jillian Pendergast, CCC-SLPNPI 1811607559

Title

Owner/SLP

Phone

(401) 793-0195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jillian Lee Pendergast, CCC-SLP

  • Speech-Language Pathologist
  • Bradenton, FL
  • NPI 1811607559
  NPD Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1871298737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 ECHO LAKE CIR UNIT 308",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112510",
            "telephone_number": "401-793-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 PASSAGE DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112107",
            "telephone_number": "401-793-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "401-793-0195",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison A Easterling, OD
• Lindsay Bethel Eastman, DDS MS PA
• Catherine A Ebersole, ND
• Ecl Medical Inc. (Westside Medical Center)
• Robert Edward Edelman, M.D.
• Andrew Edwards, LAT, ATC
• Bridgett Elaine Edwards, APRN
• Christine Edwards
• Drew Jameson Edwards, M.D.
• Kyeesha Edwards, RN

• Speech-Language Pathologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.