Kelly Nicole Edwards, PT
Physical Therapist · Fayetteville, AR
Kelly Nicole Edwards, PT is a physical therapist with a practice address in Fayetteville, Arkansas, and NPI 1144108754, issued on Aug 22, 2025. Check the license (Arkansas PT4054, as entered in NPPES) with the Arkansas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Nicole Edwards
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT4054 AR
Self-reported in NPPES; status is on the state search - Practice location
- 3317 N Wimberly Dr FL 2, Fayetteville, AR 72703
- Phone
- (479) 587-3117
- Enumerated
- Aug 22, 2025
- Record last updated
- Aug 22, 2025
- Fax
- (479) 587-3185
- Medicare enrollment
- Enrolled (PECOS I20251001004036); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 3317 N Wimberly Dr FL 2
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shannon Astin, PTPhysical Therapist1437290988
- Anne Attia, PTPhysical Therapist1629442363
- Anna BlandOccupational Therapist1356009211
- Makenzie Bradford, OTOccupational Therapist1437749710
- Patrick Cunningham, OTR/LOccupational Therapist1871377010
- Logan Dewhitt, DPTPhysical Therapist1114574142
Verify Kelly Nicole Edwards in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
Search for license PT4054Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ozark Orthopaedics, P.A.Fayetteville, AR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
182 physical therapist records list a practice address in Fayetteville
They are 182 of the 3,890 NPPES records with a practice address in Fayetteville, and 2,255 physical therapist records in Arkansas.
All 182 in Fayetteville → All 2,255 in Arkansas → Every provider in Fayetteville →
Other physical therapist records in Arkansas
- Bridget :moix, PHYSICAL THERAPISTLittle Rock, AR1659523892
- Kristi AbbottFayetteville, AR1336627942
- London Abernathy Creel, PTSherwood, AR1851870703
- Andrew Abraham, P.T.Searcy, AR1750362729
- Trina Abraham, P.T.Searcy, AR1164408001
- Katy Abramowitz, DPTLittle Rock, AR1609728898
- Megan Acosta, DPTNorth Little Rock, AR1306523238
- Anthony Adair, DPTBentonville, AR1932436755
- Henry Adamos, LPTHarrison, AR1922083534
- Krista Adams, DPT, PTBryant, AR1396269056
Common questions
What is Kelly Nicole Edwards, PT's NPI number?
Kelly Nicole Edwards, PT's National Provider Identifier (NPI) is 1144108754, issued on Aug 22, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Nicole Edwards, PT located?
The NPPES record lists a practice address at 3317 N Wimberly Dr FL 2, Fayetteville, AR, 72703. Phone: (479) 587-3117. Providers update this record themselves, so call before visiting.
How can I verify Kelly Nicole Edwards, PT's license?
NPPES lists Arkansas license number PT4054, as entered by the provider. Search the Arkansas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.