Individual provider Active NPI

Isobel Jean Ebner, OTR

  • Occupational Therapist
  • East Lansing, MI
National Provider Identifier
1629326467
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000524 Issued in MI
Practice address
2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916
Phone
(517) 332-3232
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201000524 MI Primary

Addresses

Primary practice location

2111 Merritt Rd
Suite 101
East Lansing, MI 48823-6916

Mailing address

4392 Cherrywood St
Okemos, MI 48864-3207
Phone (517) 349-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katranji Reconstructive Surgery Institute, PLLC Occupational Therapist CurrentSince Feb 1, 2013 Accepting new patients
Specialty Investments CurrentSince Apr 3, 2017 Accepting new patients

Locations

2111 Merritt Rd
Ste 101
East Lansing, MI 48823
Phone (517) 332-3232

2111 Merritt Rd
Ste 202
East Lansing, MI 48823
Phone (517) 332-4263

901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263

Organizations & group practices 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1629326467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4392 CHERRYWOOD ST",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643207",
            "telephone_number": "517-349-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 MERRITT RD",
            "address_2": "SUITE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236916",
            "telephone_number": "517-332-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNER",
        "first_name": "ISOBEL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.