Eva M Eckburg, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

625 Issued in IA

Practice address

2200 Bergquist Drive, Suite 1
Attn: Credentials (CMC)
Lackland Afb, TX 78236-5300

Phone

(210) 292-6707

Fax

(210) 292-7964

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1275593105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 ALOVETTE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514313",
            "telephone_number": "210-256-6610",
            "fax_number": "210-292-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DRIVE, SUITE 1",
            "address_2": "ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365300",
            "telephone_number": "210-292-6707",
            "fax_number": "210-292-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKBURG",
        "first_name": "EVA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Deluca-King, AUD
• William S Dente Ellis, D.O.
• Robert M. Dewitt, M.D.
• Evan M Dilley
• Dennis Carl Dixon, DDS
• Michael Hylton Edging, FNP-BC
• Laura Marie Elmer, M.D.
• Jorge Armando Escudero, RPH
• Charisma Bautista Evangelista, M.D.
• Grant Hopkins Evans, DO, FACS

• Physical Therapist in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.