Active NPI
Violet L Eberly, PT, DPT
- Physical Therapist
- Colville, WA
National Provider Identifier
1275968687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 00010071
- Practice address
- 217 E 2ND Ave
Colville, WA 99114-2903 - Phone
- (509) 684-5027
- Fax
- (509) 684-6133
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 00010071 | WA | Primary |
Addresses
Primary practice location
217 E 2ND Ave
Colville, WA 99114-2903
Mailing address
37 Lambert Creek Rd
Republic, WA 99166-9558
Phone (509) 775-8913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140129000406 | WA | Practitioner - Physical Therapist in Private Practice | 3476782178 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 00010071 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferry County Public Hospital District No 1 | Current | Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current | Accepting new patients | |
| Ferry County Public Hospital District No 1 | Current | Accepting new patients | |
| Intelligent Balance Chiropractic Spinal Care, PLLC | Past | Accepting new patients |
Locations
10 Ros Cir
Republic, WA 99166
Phone (509) 775-3153
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.
-
- Rural Health Clinic/Center
- Republic, WA
- NPI 1184776916
-
- Rural Health Clinic/Center
- Curlew, WA
- NPI 1205988219
-
- Chiropractor
- Liberty Lake, WA
- NPI 1538603238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1275968687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 LAMBERT CREEK RD",
"city": "REPUBLIC",
"state": "WA",
"postal_code": "991669558",
"telephone_number": "509-775-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E 2ND AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991142903",
"telephone_number": "509-684-5027",
"fax_number": "509-684-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERLY",
"first_name": "VIOLET",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 00010071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.