KELSEY EDE – Physical Therapist, NPI 1093379026

KELSEY EDE is a healthcare provider. based in San antonio, Texas. specializing in Physical Therapist. The NPI Number for KELSEY EDE is 1093379026

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY EDE
NPI
1093379026
Phone
(210) 253-3450
Address
5917 Broadway St
Enumeration Date
25 April 2019
Last Update Date
25 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2102533450
Graduation Year
2019 (7 years ago)
PAC ID
2163756347
Group Practice PAC ID
3274525548
Professional Enrollment ID
I20190621000144
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

Provider Addresses for KELSEY EDE

  • 5917 Broadway St

    San Antonio, TX 782095235

    Phone: (210) 253-3450

    Fax: (210) 477-1037

    Type: Location

  • 12508 JONES MALTSBERGER RD STE 110

    SAN ANTONIO, TX 782474215

    Phone: (210) 590-4000

    Fax: (210) 590-4585

    Type: Mailing

  • 21 SPURS LN STE 340

    SAN ANTONIO, TX 782401680

    Phone: (210) 798-8585

    Fax: (210) 798-8580

    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 78209)

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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: 3274525548View full group profile
NameSpecialtyState
Sports MedicineTX
Physical Therapist In Private PracticeKY
Orthopedic Surgery, Sports MedicineTX
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeKY
P O D I A T R YTX
-TX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to KELSEY EDE?
NPI 1093379026 is assigned to KELSEY EDE under the national enumeration system.
Is KELSEY EDE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KELSEY EDE list a primary specialty?
If you are matching referrals, note Physical Therapist for KELSEY EDE. Clinical services aligned with this taxonomy classification.
Where is KELSEY EDE's primary listing?
We display San Antonio, Texas because that is what the record indicates for KELSEY EDE.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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