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Athletic Edge Physical Therapy Pllc

Physical Therapy Clinic/Center in Providence Forge, VA · enumerated 2025 · authorized official Logan Evans, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730040312

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Registry record

Entity type Organization (Type 2)
Legal business name Athletic Edge Physical Therapy Pllc
Practice address 5859 Ginger Dr, Providence Forge, VA, 23140
Phone (757) 634-9256
Enumeration date Nov 21, 2025
Last updated in NPPES Nov 21, 2025

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Logan Evans
Title Owner
Phone (757) 634-9256

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Athletic Edge Physical Therapy Pllc?
The NPI for Athletic Edge Physical Therapy Pllc is 1730040312, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Athletic Edge Physical Therapy Pllc?
NPPES lists Logan Evans (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-21.