Active NPI
Luke Allen Ebersole, DPT
- Physical Therapist
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007092
- Practice address
- 1138 S Highway 27
Somerset, KY 42501-3523 - Phone
- (606) 677-2006
- Fax
- (606) 677-1779
- NPI assigned
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007092 | KY | Primary |
Addresses
Primary practice location
1138 S Highway 27
Somerset, KY 42501-3523
Mailing address
383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007092 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients |
Locations
1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
4312 Holiday Inn Express Way NW
Ste 103
Cleveland, TN 37312
Phone (423) 778-9612
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1144758277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 CORBIN CENTER DR",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011895",
"telephone_number": "606-526-2909",
"fax_number": "606-526-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 S HIGHWAY 27",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425013523",
"telephone_number": "606-677-2006",
"fax_number": "606-677-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERSOLE",
"first_name": "LUKE",
"middle_name": "ALLEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-02",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.