Stephanie Eberhart

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

5310 Merchandise Dr
Fort Wayne, IN 46825-5140

Phone

(260) 484-9491

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073623948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 CANDLESET CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188783",
            "telephone_number": "260-348-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 MERCHANDISE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255140",
            "telephone_number": "260-484-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2306602144",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "06003225A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryleigh Eaton
• Michelle R Eaton, DPT
• Lanea Ebel, PHARMD
• Molly Eber
• Patricia Ann Eber, MS EDU
• Angela S. Ebersole, NP
• Audrey Ebert
• Karen Ebner, MSW, LCSW
• Samuel R Eby, MD
• Ilein Echeverria, RBT

• Physical Therapy Assistant in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.