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

Physical Edge, Inc

Organization Physical Therapist · NPI 1689606469

Physical Edge, Inc is a Physical Therapist 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
Phone: (530) 753-9011
Fax: (530) 753-9021
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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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