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

Charles Edmondson, DPT

Individual provider Physical Therapist · NPI 1770033987

Charles Edmondson, DPT is a Physical Therapist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

120 District Blvd Ste D102
Jackson, MS 39211-6382
Phone: (769) 204-8222
Fax: (769) 235-2751
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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 PT5987 (MS)

Record details

NPI number1770033987
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 4, 2019
Mailing address800 Crescent Centre Dr Ste 300, Franklin, TN 37067-7285

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