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

Mr. Edward Lee Ponce, PT

Individual provider Physical Therapist · NPI 1528176138

Mr. Edward Lee Ponce, PT is a Physical Therapist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
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

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Phone: (309) 663-6461
Fax: (309) 663-5711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 070-010014 (IL)
Physical Therapist Taxonomy 225100000X · Licence 070010014 (IL)

Record details

NPI number1528176138
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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