William Hugh Edwards, PT, DPT
Individual provider Active NPI Physical Therapist · Jber, AK
NPI 1992467765 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1992467765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305213002 (VA)
- Practice address
- 673 MDG
5955 Zeamer Avenue
Jber, AK 99506 - Phone
- (907) 580-1059
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305213002 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305213002 | VA | Yes |
Addresses
Primary practice location
673 MDG
5955 Zeamer Avenue
Jber, AK 99506
Mailing address
673 MDG
5955 Zeamer Ave
Jber, AK 99506
Phone (907) 580-1059
Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.