Organization Active NPI

Edge Resources, LLC

  • Physical Therapist
  • Matthews, NC
National Provider Identifier
1922465467
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4940 Issued in NC
Legal business name
EDGE RESOURCES, LLC
Practice address
2602 Flagstick Dr
Matthews, NC 28104-0658
Phone
(704) 989-5347
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. John Alarik Rintamaa III, PT
Title
Owner
Phone
(704) 989-5347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4940 NC Primary

Addresses

Primary practice location

2602 Flagstick Dr
Matthews, NC 28104-0658

Mailing address

2602 Flagstick Dr
Matthews, NC 28104-0658
Phone (704) 989-5347

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1922465467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 FLAGSTICK DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040658",
            "telephone_number": "704-989-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 FLAGSTICK DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040658",
            "telephone_number": "704-989-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "RINTAMAA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALARIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-989-5347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.