MEDICARE: EDGE THERAPY LLC

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1942036140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDGE THERAPY LLC

Provider Business Mailing Address
First Line	:	1876 MICHAEL SPRINGS PL
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-3812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1876 MICHAEL SPRINGS PL
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-3812
Country	:	US
Telephone Number	:	702-239-4465
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMY EDGEMON
Credential	:
Telephone Number	:	702-239-4465

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	02/25/2025

Similar Medicare Providers

1861781445 — NICOLE DUKES
Practice Location Address:

300 ROSSMOYNE AVE
NORTH LAS VEGAS, NV
89030-3812

Practice Phone: 702-657-9430
Practice Fax:

1881931053 — CORINE DUPREE
Practice Location Address:

320 ROSSMOYNE AVE
NORTH LAS VEGAS, NV
89030-3812

Practice Phone: 702-336-0707
Practice Fax:

1215352364 — KIARA DAVIS-ROBINSON
Practice Location Address:

3812 CARISBROOK AVE
NORTH LAS VEGAS, NV
89081-6631

Practice Phone: 702-717-6981
Practice Fax:

1639580459 — KENDRA BOTT MFTSTUDENT INTERN
Practice Location Address:

3812 TAYLOR ROCK CT
NORTH LAS VEGAS, NV
89031-2084

Practice Phone: 702-907-3071
Practice Fax:

1457312407 — JOY LOVETTE MD
Practice Location Address:

3812 ACADEMY PARKWAY NORTH NE
ALBUQUERQUE, NM
87109-4409

Practice Phone: 505-821-6684
Practice Fax: 505-821-3788

1215973508 — DR. MICHAEL RAYMOND GENOVESE DC
Practice Location Address:

799 DEER PARK AVE
NORTH BABYLON, NY
11703-3812

Practice Phone: 631-587-0872
Practice Fax: 631-587-0855

Directions to “EDGE THERAPY LLC ” 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.