Individual provider Active NPI

Thomas Eby, DPT

  • Physical Therapist
  • Ferndale, WA
National Provider Identifier
1194101519
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60570040 Issued in WA
Practice address
1740 Labounty Dr
Suite 7
Ferndale, WA 98248-9403
Phone
(360) 384-5111
Fax
(360) 384-0006
NPI assigned
Aug 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60570040 WA Primary

Addresses

Primary practice location

1740 Labounty Dr
Suite 7
Ferndale, WA 98248-9403

Mailing address

1740 Labounty Dr
Suite 7
Ferndale, WA 98248-9403
Phone (360) 384-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1194101519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 LABOUNTY DR",
            "address_2": "SUITE 7",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489403",
            "telephone_number": "360-384-5111",
            "fax_number": "360-384-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LABOUNTY DR",
            "address_2": "SUITE 7",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489403",
            "telephone_number": "360-384-5111",
            "fax_number": "360-384-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60570040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.