MEDICARE: EDGE REHAB CHIROPRACTIC, PLLC

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	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1043167208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDGE REHAB CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	309 W ELDORADO PKWY STE 104
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5382
Country	:	US
Telephone Number	:	972-441-7088
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 W ELDORADO PKWY STE 104
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5382
Country	:	US
Telephone Number	:	972-441-7088
Fax Number	:

Authorized Official
Title or Position	:	CEO/CHIROPRACTOR
Name	:	CORTNEY KANTE
Credential	:	DC
Telephone Number	:	972-441-7088

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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