STEPHEN BLAINE EDWARDS (NPI# 1508971169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508971169 |
| Entity Type | Individual |
| Full Name | STEPHEN BLAINE EDWARDS |
| Credential | PT |
| Practice Address |
3525 Loma Vista Rd Ste C Ventura CA 93003-3165 |
| Mailing Address |
5720 Ralston St Ste 200 Ventura CA 93003-7844 |
| Practice Telephone | 8056526955 |
| Practice Fax Number | 8056526959 |
| Mailing Telephone | 8058044168 |
| Mailing Fax Number | 8058301177 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 22601 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 22601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119467 | Stephen Nicholas Edwards | Specialist/Technologist | 11159 Oakridge Dr, Fishers, IN 46038-1759 | 2019-02-05 |
| 1861651614 | Stephen Jawahar Edwards | Pediatrics | 3143 E Webber Dr, Pearland, TX 77584-9420 | 2008-06-06 |
| 1700909587 | Stephen Thomas Edwards II | Marriage & Family Therapist | 306 W Sadie St, Brandon, FL 33510-4440 | 2007-04-09 |
| 1013015585 | Stephen Patrick Edwards | Optometrist | 302 Railroad St, Water Valley, MS 38965-3032 | 2006-09-20 |
| 1467462382 | Stephen Kirk Edwards | Chiropractor | 6504 Old Springville Rd, Pinson, AL 35126-3183 | 2006-08-09 |
| 1376574590 | Stephen W Edwards | Chiropractor | 2962 Smith River Dr, Redding, CA 96002-5219 | 2006-07-05 |
| 1235586603 | Stephen Edwards | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Ctr, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2016-05-16 |
| 1386023794 | Stephen Edwards | Social Worker | 1801 Fox Dr, Champaign, IL 61820-7236 | 2015-05-19 |
| 1225460207 | Stephen Edwards | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-1903 | 2013-08-01 |
| 1386734416 | Stephen Kyle Edwards | Dentist | 1829 Jefferson St, Shelton, WA 98584-2004 | 2006-10-12 |
| Street Address |
3525 LOMA VISTA RD STE C |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713714 | Stephanie Silken Youldassis | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2019-07-26 |
| 1184107195 | Velia Rosa Lozick | Occupational Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2018-09-14 |
| 1497268932 | Danielle Nicole Lippert Price | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2017-11-07 |
| 1124385943 | Shelby Rose Doud | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2012-04-18 |
| 1811297104 | Laurel Beth Schwartzkopf | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2010-11-02 |
| 1528389269 | Adria Goppelt Tenisson | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2010-06-16 |
| 1467664425 | Lee Ann Rika Inouye Sanchez | Occupational Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2007-05-04 |
| 1952513459 | Susan Lynn Yovanno | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2007-05-04 |
| 1427176809 | Robin Lee Etu | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2007-03-26 |
| 1386760395 | David Scott Edwards | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396049193 | Josee Routhier | Physical Therapist | 2895 Loma Vista Rd Ste H, Ventura, CA 93003-1542 | 2011-01-07 |
| 1487856233 | Nicole Cortez | Physical Therapist | 3525 Loma Vista Rd # A, Ventura, CA 93003-3101 | 2007-06-04 |
| 1851406425 | Lisa Christine West | Physical Therapist | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2006-08-21 |
| 1023082294 | Deborah Smith | Physical Therapist | 3737 Telegraph Rd, Suite A, Ventura, CA 93003-3464 | 2006-02-15 |
| 1851361513 | Melinda A Crisostomo | Physical Therapist | 5550 Telegraph Rd Ste A, Ventura, CA 93003-4256 | 2006-01-25 |
| 1497268932 | Danielle Nicole Lippert Price | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2017-11-07 |
| 1760901920 | Kylie Mae Hawkins | Physical Therapist | 5550 Telegraph Rd, Ventura, CA 93003-4254 | 2017-09-19 |
| 1760903397 | Sandra Alicia Bernedo | Physical Therapist | 2895 Loma Vista Rd, Ventura, CA 93003-1572 | 2017-07-05 |
| 1326436403 | Advocate Physical Therapy, Inc. | Physical Therapist | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2014-12-24 |
| 1811297104 | Laurel Beth Schwartzkopf | Physical Therapist | 3525 Loma Vista Rd Ste C, Ventura, CA 93003-3165 | 2010-11-02 |
| Find all providers in VENTURA | ||||
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| 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.