Karen R Ebbert, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2426-19 Issued in WI

Practice address

1365 N Port Washington Rd
Grafton, WI 53024-9333

Phone

(262) 474-0050

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Athletic & Therapeutic Institute of Milwaukee, LLC

  dba AT Physical Therapy

  • Physical Therapist
  • Greenfield, WI
  • NPI 1174611313
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1487152237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 N PORT WASHINGTON RD",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249333",
            "telephone_number": "262-474-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBERT",
        "first_name": "KAREN",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2426-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubomyr Domashevsky, MD
• Rose M Dotson, MD
• DPRX Consultancy LLC
• Amber Ducheny, PHARMD
• Erin Marie Dzwinel, MS,CCC-SLP
• Caitlin Lindsay Ebel, SLP
• William A Ebinger, MD
• Patrick James Edwards, DC
• Stephanie Ehlerding, PHARMD
• Michael David Ehlke, PHARMD

• Physical Therapy Assistant in Grafton, WI
• Providers in Grafton, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.