Individual provider Active NPI

Violet L Eberly, PT, DPT

  • Physical Therapist
  • Colville, WA
National Provider Identifier
1275968687
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 00010071 Issued in WA
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

Updated by the provider on Sep 5, 2013

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT 00010071WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ferry County Public Hospital District No 1 CurrentSince Jan 3, 2025 Accepting new patients
Ferry County Public Hospital District No 1 Current Accepting new patients
Ferry County Public Hospital District No 1 CurrentSince Jan 3, 2025 Accepting new patients
Intelligent Balance Chiropractic Spinal Care, PLLC PastSince Feb 6, 2018 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.

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.

Verify at the official NPI Registry.