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

Mr. Edward L Valentine III, PT

Individual provider Physical Therapist · NPI 1104928969

Mr. Edward L Valentine III, PT is a Physical Therapist in Private Practice in London, Kentucky. Qualified in 2003, 23 years ago. Practices with Revolution Physical Therapy Corbin, a 4-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
23
Licensed in
KY
In the registry since
2006
Specialties on file
2
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

195 Commercial Dr Ste 100
London, KY 40744-5234
Phone: (606) 657-5111
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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 004527 (KY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1104928969
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJune 11, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Revolution Physical Therapy Corbin — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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