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

Mario Edwards

Individual provider Physical Therapist · NPI 1740012152

Mario Edwards is a Physical Therapist in Private Practice in Encinitas, California. Qualified in 2024, 2 years ago. Practices with Gaspar Physical Therapy a Professional Corporation, a 36-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1004 N El Camino Real
Encinitas, CA 92024-1320
Phone: (760) 632-6942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1740012152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address5421 Los Robles Dr, Carlsbad, CA 92008-4423

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gaspar Physical Therapy A Professional Corporation — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Encinitas