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

Kelly Nicole Edwards, PT

Individual provider Physical Therapist · NPI 1144108754

Kelly Nicole Edwards, PT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2015, 11 years ago. Practices with Ozark Orthopaedics, PA, a 57-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3317 N Wimberly Dr Fl 2
Fayetteville, AR 72703-4056
Phone: (479) 587-3117
Fax: (479) 587-3185
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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 PT4054 (AR)

Record details

NPI number1144108754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ozark Orthopaedics, P.A. — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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