Individual provider Active NPI

Casey Vaughn Eberle, DPT

  • Orthopedic Physical Therapist
  • Orlando, FL
National Provider Identifier
1508003567
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
24520 Issued in FL
Practice address
801 Woodbury Rd Ste 103104
Orlando, FL 32828-4514
Phone
(407) 373-6082
Fax
(407) 373-6083
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 24520 FL Primary

Addresses

Primary practice location

801 Woodbury Rd Ste 103104
Orlando, FL 32828-4514

Mailing address

12163 Water Poppy CT
Orlando, FL 32828-5570
Phone (904) 859-0478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000429 FL Practitioner - Physical Therapist in Private Practice 7719044510 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24520FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderlinde Physical Therapy LLC Orthopedic CurrentSince Jan 21, 2009 Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc. Orthopedic CurrentSince Jun 10, 2016 Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc PastSince Mar 3, 2024 Accepting new patients

Locations

9070 Kimberly Blvd
Ste 24
Boca Raton, FL 33434
Phone (561) 482-6900

4230 Pablo Professional Ct
Ste 155
Jacksonville, FL 32224

6 Fairfield Blvd
Ste 6
Ponte Vedra Beach, FL 32082
Phone (904) 373-0904

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1508003567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 WATER POPPY CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328285570",
            "telephone_number": "904-859-0478",
            "fax_number": "407-373-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WOODBURY RD STE 103104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284514",
            "telephone_number": "407-373-6082",
            "fax_number": "407-373-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "CASEY",
        "middle_name": "VAUGHN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "24520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.