Kelly A Eberly, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OC11627 Issued in PA

Practice address

1 Reading Dr
Wernersville, PA 19565-2018

Phone

(610) 927-8160

NPI assigned

Nov 11, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoebe Corporate and Community Based Services Inc

  • Rehabilitation Clinic/Center
  • Wernersville, PA
  • NPI 1457617813
  Medicare reassignment NPD
• Phoebe Corporate & Community Based Services

  • Health Service Clinic/Center
  • Wernersville, PA
  • NPI 1558733378
  NPD

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1366087611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PRESTON RD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659412",
            "telephone_number": "610-927-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 READING DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195652018",
            "telephone_number": "610-927-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLY",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC11627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J Davis, M.D.
• Chris Decocinis
• Scott T Dittus, DPM
• Michelle Marie Doleniak, MA, RD, LDN
• Dr Raylene a Devine
• Daniel Matthew Edgar
• Elemental Wellness LLC
• Ephrata Community Hospital
• Jennifer Ewald
• Exclusive Rehabilitation Services LLC

• Physical Rehabilitation Occupational Therapist in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Physical Rehabilitation Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.