Individual provider Active NPI

Anna Michelle Ebey, PT

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1306947601
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7357 Issued in AZ
Practice address
2851 S Avenue B Ste 2402
Yuma, AZ 85364-7726
Phone
(928) 782-5588
Fax
(928) 782-5755
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 42797 CA
Physical Therapist 225100000X 7357 AZ Primary

Addresses

Primary practice location

2851 S Avenue B Ste 2402
Yuma, AZ 85364-7726

Mailing address

2851 S Avenue B Ste 2402
Yuma, AZ 85364-7726
Phone (928) 782-5588

Other identifiers 1

IdentifierTypeStateIssuer
AZ0293620OtherAZBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000308 AZ Practitioner - Physical Therapist in Private Practice 2264433689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2851 S Ave B
Suite 2402
Yuma, AZ 85364-7726
Phone (928) 782-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42797CAMDPharmacist
7357AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Rehabilitation Physical and Occupational Therapy, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Elite Physical Therapy and Pilates Rehabilitation PC Physical Therapist CurrentSince Dec 13, 2022 Accepting new patients

Locations

2851 S Avenue B
Ste 2402
Yuma, AZ 85364
Phone (800) 391-9477

2244 S Avenue A
Ste E
Yuma, AZ 85364
Phone (928) 782-5588

2244 S Avenue A
Ste D
Yuma, AZ 85364
Phone (928) 782-9274

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1306947601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2402",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-782-5588",
            "fax_number": "928-782-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B STE 2402",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-782-5588",
            "fax_number": "928-782-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEY",
        "first_name": "ANNA",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42797",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0293620",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.