MEDICARE: DR. NICHOLAS CLARK EDWARDS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5130	NV

General Provider Information

NPI Number	:	1275223174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS CLARK EDWARDS DPT

Provider Business Mailing Address
First Line	:	9070 W CHEYENNE AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8935
Country	:	US
Telephone Number	:	702-818-5000
Fax Number	:	702-818-5001

Provider Business Practice Location Address
First Line	:	6785 W RUSSELL RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1862
Country	:	US
Telephone Number	:	702-818-5000
Fax Number	:	702-818-5001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	02/06/2025

Similar Medicare Providers

1457497406 — MR. JASON MICAH RAMOS D.C.
Practice Location Address:

6785 W RUSSELL RD STE 140
LAS VEGAS, NV
89118-1862

Practice Phone: 702-646-8400
Practice Fax: 702-920-8846

1972649929 — MR. BRETT LOUIS CROWLEY D.C.
Practice Location Address:

6785 W RUSSELL RD STE 140
LAS VEGAS, NV
89118-1862

Practice Phone: 702-646-8400
Practice Fax: 702-920-8846

1255877924 — MRS. KARISSA DANIELLE GRIBBIN PT, DPT
Practice Location Address:

6785 W RUSSELL RD STE 110
LAS VEGAS, NV
89118-1862

Practice Phone: 702-818-5000
Practice Fax: 702-818-5001

1114690849 — STEPHANIE MARC CASEQUIN BATISTA
Practice Location Address:

6765 W RUSSELL RD STE 170
LAS VEGAS, NV
89118-1862

Practice Phone: 702-291-2031
Practice Fax: 702-410-9402

1265160915 — DR. CHADWICK DIGREGORIO PT, DPT
Practice Location Address:

6785 W RUSSELL RD STE 110
LAS VEGAS, NV
89118-1862

Practice Phone: 702-818-5000
Practice Fax: 702-818-5001

1134810922 — DR. REBECCA ALTMAN DPT
Practice Location Address:

6785 W RUSSELL RD STE 110
LAS VEGAS, NV
89118-1862

Practice Phone: 702-818-5000
Practice Fax: 702-818-2001

Directions to “ DR. NICHOLAS CLARK EDWARDS DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.