Mark Thomas Eberle, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006496L Issued in PA

Practice address

103 Walker Dr
Edinboro, PA 16412-2237

Phone

(814) 734-7444

Fax

(814) 734-8509

NPI assigned

Mar 17, 2006

Last updated

Jul 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eberles Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Edinboro, PA
  • NPI 1598732034

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1457310666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WALKER DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122237",
            "telephone_number": "814-734-7444",
            "fax_number": "814-734-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WALKER DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122237",
            "telephone_number": "814-734-7444",
            "fax_number": "814-734-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "MARK",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006496L",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000110A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015328200004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Coughenour, MS LPC
• Teresa Dailey
• Matthew Defrances
• Paige Nicole Dingle
• Jill Ashley Divito, LPC
• Michelle Suzanne Eberle, PT
• Eberles Physical Therapy Inc
• Edinboro Counseling and Psychological Services
• Edinboro Counseling and Psychological Services
• Edinboro Family Chiropractic, Inc.

• Physical Therapist in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.