JOHN D EDWARDS (PT) – Physical Therapist, NPI 1235219015

JOHN D EDWARDS (PT) is a healthcare provider. based in Lafayette, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 05003445A (IN). The NPI Number for JOHN D EDWARDS (PT) is 1235219015

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D EDWARDS (PT)
NPI
1235219015
Phone
(765) 447-5552
Address
1411 S CREASY LN
Enumeration Date
16 October 2006
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654465250
Graduation Year
1992 (34 years ago)
PAC ID
0941304331
Group Practice PAC ID
0244123362
Professional Enrollment ID
I20070323000360

Contacts

Secure Messaging
john.edwards.1@29985.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for JOHN D EDWARDS (PT)

  • 1411, South Creasy Lane, Lafayette, Tippecanoe County, Indiana, 47905, United States

    SUITE 100

    LAFAYETTE, IN 479057438

    Phone: (765) 447-5552

    Fax: (765) 449-1054

    Type: Location

  • 8450 NORTHWEST BLVD

    INDIANAPOLIS, IN 462781381

    Phone: (317) 802-2000

    Fax: (317) 802-2050

    Type: Mailing

  • PO BOX 646601

    CINCINNATI, OH 452646601

    Phone: (317) 802-2000

    Fax: (317) 802-2050

    Type: Mailing

  • 2548 CUMBERLAND AVE

    STE 100

    WEST LAFAYETTE, IN 479064083

    Phone: (765) 447-4165

    Fax: (765) 447-4168

    Type: Location

  • Lafayette Post Office, 99, Chauncy Street, Downtown Crossing, Downtown Boston, Boston, Suffolk County, Massachusetts, 02111, United States

    LAFAYETTE, IN 479034699

    Phone: (765) 449-2732

    Fax: (765) 449-1196

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070323000360IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,019115$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes67497$0
97530Therapy procedure using functional activities45079$0
97140Therapy procedure using manual technique, each 15 minutes30383$0
97161Evaluation for physical therapy, typically 20 minutes10592$0
View full utilization report →

Insurance plans in this area (ZIP 47905)

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Provider's Procedures

JOHN D EDWARDS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes925140

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244123362View full group profile
NameSpecialtyState
P O D I A T R YIN
-IN
Physician AssistantIN
Nurse PractitionerIN
-IN
Physical Therapist In Private PracticeIN
-IN
-IN
G A S T R O E N T E R O L O G YIN
A L L E R G Y/ I M M U N O L O G YIN

Reviews

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Frequently asked questions

Is JOHN D EDWARDS (PT) listed with a National Provider Identifier?
Yes — JOHN D EDWARDS (PT) has NPI 1235219015 on file in the registry.
Is JOHN D EDWARDS (PT) still an active registrant?
JOHN D EDWARDS (PT) carries an active NPI according to the public dataset.
How would a patient describe JOHN D EDWARDS (PT)'s focus?
For JOHN D EDWARDS (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN D EDWARDS (PT)?
Travel planning: use Lafayette, Indiana as the reference point for JOHN D EDWARDS (PT), then confirm.
Can I trust this NPI listing for JOHN D EDWARDS (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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