Edge Wellness and Physical Therapy, LLC
NPI 1780254862 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Fort Lee, NJ
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edge Wellness and Physical Therapy, LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Fort Lee, NJ (NPI 1780254862).
Provider details
- NPI number
- 1780254862
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lawrence Kim, Ceo(201) 785-7486
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
- 2021-06-30
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Frequently asked questions
- What is Edge Wellness and Physical Therapy, LLC's NPI number?
- Edge Wellness and Physical Therapy, LLC's National Provider Identifier (NPI) is 1780254862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edge Wellness and Physical Therapy, LLC?
- Edge Wellness and Physical Therapy, LLC is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Edge Wellness and Physical Therapy, LLC located?
- Edge Wellness and Physical Therapy, LLC's practice location on file with NPPES is 2 Executive Dr Ste C1, Fort Lee, NJ 07024-3308.
- What is Edge Wellness and Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Edge Wellness and Physical Therapy, LLC is (201) 785-7486.
- Does Edge Wellness and Physical Therapy, LLC accept Medicare?
- Edge Wellness and Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edge Wellness and Physical Therapy, LLC?
- The authorized official listed on Edge Wellness and Physical Therapy, LLC's NPPES record is Lawrence Kim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edge Wellness and Physical Therapy, LLC's NPI active?
- Yes — Edge Wellness and Physical Therapy, LLC's NPI (1780254862) is active in the NPPES registry as of the last update on 2021-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.