Wesley B Eberlin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 28116 Issued in FL

Practice address

6102 Tennessee Ave
Fort Campbell, KY 42223-5940

Phone

(270) 956-4594

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1538173877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 TENNESSEE AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235940",
            "telephone_number": "270-956-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLIN",
        "first_name": "WESLEY",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9906",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 28116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0210790",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deven Dyer
• Joe Donald Dzubak
• Matthew James Earich, D.M.D.
• John Garrison East, COTA/L
• Gidget M Eaton, PHARMD
• Gary Lee Eberly, MD
• Kyla Raye Eby, ATC
• Kaka Echere, PSYCHIATRIC NP
• Alan Wayne Edmundson, DDS
• James N Elder, MD

• Physical Therapist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.