Individual provider Active NPI

Peggy Ebert, OT

  • Occupational Therapist
  • West Chester, OH
National Provider Identifier
1164891206
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT002489 Issued in OH
Practice address
8020 Liberty Way
West Chester, OH 45069-2519
Phone
(513) 527-6405
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT2489 OH
Physical Therapy Clinic/Center 261QP2000X 2489 OH
Occupational Therapist 225X00000X OT002489 OH Primary

Addresses

Primary practice location

8020 Liberty Way
West Chester, OH 45069-2519

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000322 OH Practitioner - Occupational Therapist in Private Practice 5597066027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Ohio State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8020 Liberty Way
West Chester, OH 45069-2519
Phone (513) 354-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT002489OHMDOccupational Therapist
OT2489OHMDHand Occupational Therapist
2489OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Physical Therapy CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 1, 2021 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapy CurrentSince Oct 1, 2021 Accepting new patients

Locations

8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

9100 Centre Pointe Dr
Ste 160
West Chester, OH 45069
Phone (513) 682-0158

8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300

7798 Discovery Dr
Ste A
West Chester, OH 45069
Phone (513) 221-2663

9100 Centre Pointe Dr
West Chester, OH 45069
Phone (513) 682-0158

Interoperability endpoints

  • Direct secure messaging: peg.ebert.p1@direct.beaconortho.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1164891206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-7662",
            "fax_number": "513-354-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 LIBERTY WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692519",
            "telephone_number": "513-527-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "PEGGY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "OT2489",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "2489",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT002489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.

Verify at the official NPI Registry.