Tonya Jividen Ebert

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005122 Issued in CO

Practice address

25 Sunshine CT
Durango, CO 81301-6023

Phone

(970) 375-1580

NPI assigned

Sep 11, 2017

Last updated

Sep 11, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1235658329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SUNSHINE CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016023",
            "telephone_number": "970-375-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "TONYA",
        "middle_name": "JIVIDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005122",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "3786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Duvall, M.D.
• Paul D Dvirnak, MD
• Rebecca Dworkin, CNM
• Susan E Earl, MPT
• Earth and Flour PLLC
• Ed Cotgageorge PC
• Jessica Kate Edelbaum, LMFT
• Edmiston Anesthesia Services PC
• Rhonda Edmondson
• James C. Eich, D.M.D.

• Occupational Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.