EDGE SPORTS PERFORMANCE (NPI# 1982982237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982982237 |
| Entity Type | Organization |
| Organization Name | EDGE SPORTS PERFORMANCE |
| Practice Address |
3710 Tom Andrews Rd Nw Roanoke VA 24019-3062 |
| Mailing Address |
Po Box 819020 Dallas TX 75381-9020 |
| Practice Telephone | 5402658585 |
| Mailing Telephone | 9726871877 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | ADAM WILLIAMS (GENERAL MANAGER) |
| Authorized Official Telephone | 5402658585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3710 TOM ANDREWS RD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447206370 | Carilion Healthcare Corporation | Clinic/Center | 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 | 2006-05-25 |
| 1659645943 | Player Prospect, LLC | Clinic/Center | 440 Highland Ave Sw, Roanoke, VA 24016-4214 | 2012-03-04 |
| 1437169398 | Carilion Clinic Physicians, LLC | Clinic/Center | 213 S Jefferson St, Suite 801, Roanoke, VA 24011-1705 | 2006-08-09 |
| 1730123472 | Carilion Medical Center | Clinic/Center | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-06-15 |
| 1649226275 | Carilion Services Inc | Clinic/Center | 213 S Jefferson St, Suite 801, Roanoke, VA 24011-1705 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653585 | Restore Health of Va LLC | Clinic/Center | 44121 Harry Byrd Hwy Ste 120, Ashburn, VA 20147-5668 | 2020-09-14 |
| 1760091185 | John Cary Md PC | Clinic/Center | 8571 Sudley Rd Ste A, Manassas, VA 20110-3862 | 2020-07-31 |
| 1639793458 | Virtual Therapy Partners | Clinic/Center | 11536 Leehigh Dr, Fairfax, VA 22030-5639 | 2020-06-08 |
| 1932721693 | Stardust Applications, LLC | Clinic/Center | 1860 Kempsville Crossing Ln, Virginia Beach, VA 23464-6935 | 2020-05-15 |
| 1639705387 | Coastal Regenex Ltd | Clinic/Center | 1013 Eden Way N Ste B, Chesapeake, VA 23320-2792 | 2020-03-13 |
| 1902437841 | Speech & Occupational Therapy Specialists | Clinic/Center | 625 Piney Forest Rd Ste 403, Danville, VA 24540-2870 | 2020-01-29 |
| 1073143228 | Brain and Body Regenerative Medicine | Clinic/Center | 3051 Valley Ave Ste 108, Winchester, VA 22601-2658 | 2020-01-16 |
| 1841754272 | Essential Piece Life Enrichment Services | Clinic/Center | 12 Salters Creek Rd Ste 200, Hampton, VA 23661-2453 | 2019-01-30 |
| 1588130744 | Insight Recovery Centers | Clinic/Center | 44340 Premier Plz Ste 230, Ashburn, VA 20147-5074 | 2018-10-15 |
| 1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
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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.