Edge Rehabilitation and Wellness - McKinney, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1139004 Issued in TX

Legal business name

EDGE REHABILITATION AND WELLNESS - MCKINNEY, LLC

Doing business as

Edge Physical Therapy

Practice address

5305 W. University Dr.
McKinney, TX 75071

Phone

(972) 529-9292

Fax

(972) 529-9293

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Shane Hernandez, MPT

Title

Owner/Physical Therapist

Phone

(480) 580-9532

Specialties & licenses 1

Addresses

Other names 1

• EDGE PHYSICAL THERAPY Doing business as

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1952643074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 W UNIVERSITY DR.",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "972-529-9292",
            "fax_number": "972-529-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 W. UNIVERSITY DR.",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "972-529-9292",
            "fax_number": "972-529-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE REHABILITATION AND WELLNESS - MCKINNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-580-9532",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1139004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgette Ebuh, DNP- FNP-C
• Cassandra Jean Eddy, PA-C
• Lindsay Edelman
• Edgar McElroy III DDS
• Edge Dental Designs PLLC
• Grace Edoho-Ukwa
• Educational Presenters Network (James Matthis)
• Angela Bonita Edwards, LPC, LCDC
• Brushie Arnell Edwards, MSN PHYSICAL THERAPY
• Ingela Gullvi Edwards, LPC

• Orthopedic Physical Therapist in McKinney, TX
• Providers in McKinney, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.