Organization · Type 2 NPI

Athletic Edge Physical Therapy PLLC

Physical Therapy Clinic/Center · Providence Forge, VA

NPI number 1730040312 Active

Practice location

5859 Ginger Dr
Providence Forge, VA 23140-3585

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000XNone listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

About NPI 1730040312

Athletic Edge Physical Therapy PLLC's National Provider Identifier is 1730040312, issued on Nov 21, 2025. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Providence Forge, VA. The record was last updated on Nov 21, 2025.