Edge Physical Therapy PSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EDGE PHYSICAL THERAPY PSC

Practice address

100 YMCA Dr
Suite 5
Madisonville, KY 42431-9000

Phone

(270) 824-9227

Fax

(270) 824-9206

NPI assigned

Jan 4, 2014

Last updated

Jan 4, 2014By 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

Mr. Jason Myers, P.T.NPI 1619939121

Title

Owner

Phone

(270) 824-9295

Specialties & licenses 2

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.

• Jason D. Myers, PT, OCS

  • Physical Therapist
  • Owensboro, KY
  • NPI 1619939121
  Authorized official Same address or phone

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1902227200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YMCA DR",
            "address_2": "SUITE 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319000",
            "telephone_number": "270-824-9227",
            "fax_number": "270-824-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YMCA DR",
            "address_2": "SUITE 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319000",
            "telephone_number": "270-824-9227",
            "fax_number": "270-824-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE PHYSICAL THERAPY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-824-9295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; 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.