ATHLETIC EDGE PERFORMANCE NPI 1003693029

NPI Information

  • NPI: 1003693029
  • Provider Name: ATHLETIC EDGE PERFORMANCE
  • Classification: Clinic/Center - 261QP2000X
  • Specialization: Physical Therapy
  • Entity Type: Organization
  • Address: 2531 CENTER WEST PARKWAY
    BUILDING 100, SUITE 700
    AUGUSTA, GA
    ZIP 30909
  • Phone: (770) 652-7477

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NPI Details

ATHLETIC EDGE PERFORMANCE is a physical therapy clinic center in Augusta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. ATHLETIC EDGE PERFORMANCE NPI is 1003693029. The provider is registered as an organization entity type.

The provider's business location address is:

2531 CENTER WEST PARKWAY
BUILDING 100, SUITE 700
AUGUSTA, GA
ZIP 30909-141
Phone: (770) 652-7477
Fax: (762) 218-2938

The provider's authorized official is Austin Shelnutt .
The authorized official title is Ceo and has the following contact phone number (770) 652-7477.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 11/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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