THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER (NPI# 1114154184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114154184 |
| Entity Type | Organization |
| Organization Name | THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER |
| Practice Address |
2950 Fairfield Ave Shreveport LA 71104-1906 |
| Practice Telephone | 3188410696 |
| Practice Fax Number | 3188410776 |
| Mailing Telephone | 3188410696 |
| Mailing Fax Number | 3188410776 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | DR. ANNA E MEANS (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3188410696 |
| Authorized Official Credential | PT, DPT, OCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
07110R | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2950 FAIRFIELD AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003974874 | Anna Means Moore | Physical Therapist | 2950 Fairfield Ave, Shreveport, LA 71104-1906 | 2006-12-05 |
| 1851548713 | Michelle K Butler | Physical Therapist | 2950 Fairfield Ave, Shreveport, LA 71104-1906 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003315607 | Matthew Alan Armstrong | Physical Therapist | 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 | 2018-02-08 |
| 1871931345 | Eric Michael Rippetoe | Physical Therapist | 9735 Aiello Ln, Shreveport, LA 71106-7440 | 2013-06-06 |
| 1366040933 | Aimee Elise Albarez | Physical Therapist | 663 Jordan St, Shreveport, LA 71101-4748 | 2020-10-15 |
| 1053852368 | Rippetoe Health LLC | Physical Therapist | 9735 Aiello Ln, Shreveport, LA 71106-7440 | 2017-03-20 |
| 1093131765 | Kelly Daniels | Physical Therapist | 1500 Line Ave, Shreveport, LA 71101-4639 | 2014-03-05 |
| 1487826566 | Danielle V Mcrae | Physical Therapist | 2120 Bert Kouns Loop, Suite B, Shreveport, LA 71118-3351 | 2008-03-28 |
| 1154519130 | Julie Ann Harris | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2007-10-04 |
| 1558420448 | Andrew P Leblanc | Physical Therapist | 2820 Hearne Ave, Shreveport, LA 71103-3934 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898990 | Johnnie L Kleinschmidt | Physical Therapist | 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 | 2020-07-13 |
| 1740813534 | R R Rehab LLC | Physical Therapist | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 | 2020-02-19 |
| 1871151399 | Amy Laura Stallings | Physical Therapist | 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 | 2019-05-30 |
| 1467016428 | Grant Anthony Falcon | Physical Therapist | 2531 Dulles Dr, Lafayette, LA 70506-2660 | 2019-04-25 |
| 1184192254 | William Keith Mills II | Physical Therapist | 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 | 2018-11-07 |
| 1225516982 | Mallory Kathryn Lott | Physical Therapist | 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 | 2018-08-03 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1770031197 | Jade Jones | Physical Therapist | 2310 Commons Ct., Unit 2, Ruston, LA 71270 | 2016-09-14 |
| 1265840516 | Benjamin Michael Wilt | Physical Therapist | 13334 W Mill Grove Dr, Gonzales, LA 70737-6564 | 2014-07-31 |
| 1316353592 | Blake William Brown | Physical Therapist | 312 Grammont St Ste 302, Monroe, LA 71201-7403 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on THE EDGE PHYSICAL THERAPY AND SPORTS SCIENCE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.