Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athletic Edge Physical Therapy PLLC

Organization Physical Therapy Clinic/Center · NPI 1730040312

Athletic Edge Physical Therapy PLLC is a Physical Therapy Clinic/Center in Providence Forge, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5859 Ginger Dr
Providence Forge, VA 23140-3585
Phone: (757) 634-9256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1730040312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Logan Evans — Owner · (757) 634-9256
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address5859 Ginger Dr, Providence Forge, VA 23140-3585