Kay Eberhart, M.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.007642 Issued in IL

Practice address

82 E Ferguson Ave
Wood River, IL 62095-1904

Phone

(618) 254-2626

NPI assigned

Jul 14, 2009

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Advanced Massage and Bodywork, LLC

  • Mechanotherapist
  • Wood River, IL
  • NPI 1730484148
  NPD (past) Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1235368093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E FERGUSON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951904",
            "telephone_number": "618-254-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E FERGUSON AVE",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951904",
            "telephone_number": "618-254-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "KAY",
        "credential": "M.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.007642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DF Roberson & WJ Stapleton DDS, LTD
• Johan C Dinkelmann, DC
• Dinklemann Health Center SC
• George Joseph Dirkers, M.D.
• East Alton Wood River HS Dist
• First Step Counseling, Inc
• Foxes Grove SLP, LLC
• Gachugu Medical Clinic
• Crystal L Gedris, PHARMD
• Rachel Germann

• Massage Therapist in Wood River, IL
• Providers in Wood River, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.