Individual provider Active NPI

Elijah Michael Eby, PT, DPT

  • Physical Therapist
  • Greenville, OH
National Provider Identifier
1588281166
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1331621 Issued in TX
Practice address
1498 N Broadway St
Greenville, OH 45331-2454
Phone
(937) 548-9495
Fax
(615) 373-7116
NPI assigned
Jun 30, 2020
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020334 OH
Physical Therapist 225100000X 1331621 TX Primary

Addresses

Primary practice location

1498 N Broadway St
Greenville, OH 45331-2454

Mailing address

1498 N Broadway St
Greenville, OH 45331-2454
Phone (937) 548-9495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729003074 TX Practitioner - Physical Therapist in Private Practice 3779908363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 700
San Antonio, TX 78229-6015
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Nov 1, 2021 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Feb 24, 2022 Accepting new patients
Lakshmiba LLC Physical Therapist CurrentSince Dec 22, 2020 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Oct 1, 2024 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Oct 1, 2024 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Feb 24, 2022 Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1010 Travis St
Ste 800
Houston, TX 77002
Phone (281) 940-9423

2900 Weslayan St
Ste 545
Houston, TX 77027
Phone (281) 940-9423

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 804-5920

3303 Rogers Rd
Ste 220
San Antonio, TX 78251
Phone (210) 585-4270

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

430 W Sunset Rd
Ste 430
San Antonio, TX 78209
Phone (210) 253-3450

Interoperability endpoints

  • Direct secure messaging: elijah.eby.1@94.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1588281166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312454",
            "telephone_number": "937-548-9495",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312454",
            "telephone_number": "937-548-9495",
            "fax_number": "615-373-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "ELIJAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020334",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.