Active NPI
Maris O'Malley Ebeling, DPT
- Physical Therapist
- Richmond Heights, MO
National Provider Identifier
1356034276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1055 Bellevue Ave
Richmond Heights, MO 63117-1827 - Phone
- (314) 644-1978
- NPI assigned
- May 26, 2023
- 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 | Primary |
Addresses
Primary practice location
1055 Bellevue Ave
Richmond Heights, MO 63117-1827
Mailing address
6359 Waterman Ave
Saint Louis, MO 63130-4708
Phone (314) 799-9275
Other practice location 1
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1356034276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6359 WATERMAN AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631304708",
"telephone_number": "314-799-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 BELLEVUE AVE",
"city": "RICHMOND HEIGHTS",
"state": "MO",
"postal_code": "631171827",
"telephone_number": "314-644-1978"
}
],
"practiceLocations": [
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBELING",
"first_name": "MARIS",
"middle_name": "O'MALLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.