Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Physical Edge, Inc

Organization Physical Therapist · NPI 1689606469

Physical Edge, Inc provides Physical Therapist services in Davis, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1970 Lake Blvd Ste 4
Davis, CA 95616-5663 Not confirmed with CMS for 17 years — call before visiting
Phone: (530) 753-9011
Fax: (530) 753-9021
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 22276 (CA)
Physical Therapist Taxonomy 225100000X · Licence 6526 (CA)
Physical Therapist Taxonomy 225100000X · Licence 30188 (CA)
Physical Therapist Taxonomy 225100000X · Licence 32377 (CA)
Physical Therapist Taxonomy 225100000X · Licence 27732 (CA)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence 1528 (CA)

Record details

NPI number1689606469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew Moore — Owner · (530) 753-9011
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 13, 2009
Mailing address1970 Lake Blvd Ste 4, Davis, CA 95616-5663

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