Kristen L Ebert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-01418 Issued in OH

Practice address

513 E Main St
Louisville, OH 44641-1421

Phone

(330) 875-0888

Fax

(330) 875-4922

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concorde Therapy Group, Inc.

  • Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1780697656
  NPD (past)
• Louisville Physical Therapy, LLC

  • Physical Therapist
  • Louisville, OH
  • NPI 1023201274
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083838601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183602",
            "telephone_number": "330-493-4210",
            "fax_number": "330-493-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E MAIN ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446411421",
            "telephone_number": "330-875-0888",
            "fax_number": "330-875-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA-01418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Diezman
• Rebecca B Dixon
• Pamela Marie Dougherty, LPN
• Haley A Duhaime, O.D.
• Christine A Dyer, LISW-S
• Eden Shores Counseling LLC
• Ehcs Oakhill Properties, LLC
• Encrypse Home Health Services LLC
• Deanna Eshler, PCC
• Andrea L Evanich, RPH

• Physical Therapy Assistant in Louisville, OH
• Providers in Louisville, OH by specialty
• Physical Therapy Assistant in Ohio

• 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.