JENNIFER A EDWARDS (PT) – Physical Therapist, NPI 1043861040

JENNIFER A EDWARDS (PT) is a healthcare provider. based in Grand rapids, Michigan. specializing in Physical Therapist. They hold the professional credentials PT. The NPI Number for JENNIFER A EDWARDS (PT) is 1043861040

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER A EDWARDS (PT)
NPI
1043861040
Phone
(616) 608-9978
Address
4761 LAKE MICHIGAN DR NW STE A
Enumeration Date
23 September 2019
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162095435
Graduation Year
1990 (36 years ago)
PAC ID
8022349497
Group Practice PAC ID
8325033285
Professional Enrollment ID
I20191016001346
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for JENNIFER A EDWARDS (PT)

  • 4761 LAKE MICHIGAN DR NW STE A

    GRAND RAPIDS, MI 495346300

    Phone: (616) 608-9978

    Type: Mailing

  • 5819, Balsam Drive, Hudsonville, Ottawa County, Michigan, 49426, United States

    HUDSONVILLE, MI 494261104

    Phone: (616) 209-5435

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49534)

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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: 8325033285View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Is JENNIFER A EDWARDS (PT) listed with a National Provider Identifier?
Yes — JENNIFER A EDWARDS (PT) has NPI 1043861040 on file in the registry.
Active or inactive — what applies to JENNIFER A EDWARDS (PT)?
You should see JENNIFER A EDWARDS (PT) as active in CMS-hosted NPPES data.
What kind of doctor is JENNIFER A EDWARDS (PT)?
JENNIFER A EDWARDS (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER A EDWARDS (PT) located near Grand Rapids?
JENNIFER A EDWARDS (PT) currently maps to Grand Rapids, Michigan in this extract.
Does JENNIFER A EDWARDS (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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