Individual provider Active NPI

Deborah York Edwards, DPT

  • Orthopedic Physical Therapist
  • Midland, TX
National Provider Identifier
1932329299
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1163617 Issued in TX
Practice address
3003 N a St
Midland, TX 79705-5304
Phone
(432) 684-7755
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1163617 TX
Orthopedic Physical Therapist 2251X0800X 06568R LA
Orthopedic Physical Therapist 2251X0800X 1163617 TX Primary

Addresses

Primary practice location

3003 N a St
Midland, TX 79705-5304

Mailing address

8216 San Diego St
Odessa, TX 79765-8523
Phone (504) 491-4217

Other identifiers 1

IdentifierTypeStateIssuer
1163617OtherTXTEXAS PT LICENSURE

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1163617TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Midland Aquatics Inc Physical Therapist CurrentSince Dec 12, 2021 Accepting new patients
Thibodeaux Orthopedic Clinic, Inc. Physical Therapist Past Accepting new patients
Thibodaux Orthopaedic and Sports Medicine Clinic Past Accepting new patients

Locations

3003 N A St
Midland, TX 79705
Phone (432) 618-9952

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1932329299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 SAN DIEGO ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658523",
            "telephone_number": "504-491-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N A ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055304",
            "telephone_number": "432-684-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DEBORAH",
        "middle_name": "YORK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1163617",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "06568R",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1163617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PT LICENSURE",
            "identifier": "1163617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.