Athletic Edge Physical Therapy PLLC
NPI 1730040312 · Physical Therapy Clinic/Center · Providence Forge, VA
Athletic Edge Physical Therapy PLLC is a Physical Therapy Clinic/Center organization in Providence Forge, VA (NPI 1730040312).
Provider details
- NPI number
- 1730040312
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Logan Evans, Owner(757) 634-9256
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-21
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Athletic Edge Physical Therapy PLLC's NPI number?
- Athletic Edge Physical Therapy PLLC's National Provider Identifier (NPI) is 1730040312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Athletic Edge Physical Therapy PLLC?
- Athletic Edge Physical Therapy PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Athletic Edge Physical Therapy PLLC located?
- Athletic Edge Physical Therapy PLLC's practice location on file with NPPES is 5859 Ginger Dr, Providence Forge, VA 23140-3585.
- What is Athletic Edge Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Athletic Edge Physical Therapy PLLC is (757) 634-9256.
- Who is the authorized official for Athletic Edge Physical Therapy PLLC?
- The authorized official listed on Athletic Edge Physical Therapy PLLC's NPPES record is Logan Evans, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Athletic Edge Physical Therapy PLLC's NPI active?
- Yes — Athletic Edge Physical Therapy PLLC's NPI (1730040312) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.