Individual provider Active NPI

Lauren E Edwards, PT

  • Physical Therapist
  • Hudson, FL
National Provider Identifier
1992195044
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30494 Issued in FL
Practice address
13719 Dallas Dr
Hudson, FL 34667-7133
Phone
(727) 862-6795
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10793 AZ
Physical Therapist 225100000X PT30494 FL Primary

Addresses

Primary practice location

13719 Dallas Dr
Hudson, FL 34667-7133

Mailing address

13719 Dallas Dr
Hudson, FL 34667-7133
Phone (727) 862-6795

Other practice location 1

7331 E Osborn Dr
Suite 410
Scottsdale, AZ 85251-6435
Phone (480) 443-0409

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10793AZMDDentist
PT30494FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activerx, Inc. Physical Therapist PastSince Nov 2, 2009 Accepting new patients

Organizations & group practices 1

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1992195044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13719 DALLAS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677133",
            "telephone_number": "727-862-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 DALLAS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677133",
            "telephone_number": "727-862-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7331 E Osborn Dr",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516435",
            "country_code": "US",
            "telephone_number": "480-443-0409",
            "fax_number": "480-704-4763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAUREN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10793",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

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