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

Edge Wellness and Physical Therapy, LLC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1780254862

Edge Wellness and Physical Therapy, LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fort Lee, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2 Executive Dr Ste C1
Fort Lee, NJ 07024-3308
Phone: (201) 785-7486
Fax: (201) 771-3024
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1780254862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Kim — Ceo · (201) 785-7486
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address80 E Rte 4 Ste 100, Paramus, NJ 07652-2647