ATHLETIC EDGE PHYSICAL THERAPY PLLC
NPI 1730040312
Clinic/Center - Physical Therapy in Providence Forge, VA

Active since November 21, 2025
5859 GINGER DR, PROVIDENCE FORGE, VA 23140(757) 634-9256 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Athletic Edge Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHLETIC EDGE PHYSICAL THERAPY PLLC (NPI 1730040312) is a healthcare organization registered as a physical therapy in Providence Forge, Virginia and active in the NPI registry since November 2025. The organization lists Logan Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1730040312
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameATHLETIC EDGE PHYSICAL THERAPY PLLC
Location Address5859 GINGER DRProvidence Forge, VA 23140-3585
Mailing Address5859 Ginger DrProvidence Forge, VA 23140-3585
Organization SubpartNo
Authorized OfficialLogan EvansOwner · (757) 634-9256
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1730040312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
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 professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
5859 GINGER DR, Providence Forge, VA 23140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athletic Edge Physical Therapy PLLC's NPI number?

The NPI number for Athletic Edge Physical Therapy PLLC is 1730040312. It was assigned to this organization in the NPPES registry on November 21, 2025.

Where is Athletic Edge Physical Therapy PLLC located?

Athletic Edge Physical Therapy PLLC is located at 5859 Ginger Dr, Providence Forge, VA 23140. The listed phone number is (757) 634-9256.

What is Athletic Edge Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Athletic Edge Physical Therapy PLLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.