Individual provider Active NPI

Jeffery Keith Ebner, PT, DPT

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1649819855
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20238 Issued in NC
Practice address
1168 E Cutlar Xing
Leland, NC 28451-6484
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
Jan 6, 2020
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 PT014455 GA
Physical Therapist 225100000X P20238 NC Primary

Addresses

Primary practice location

1168 E Cutlar Xing
Leland, NC 28451-6484

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800

Other practice location 1

503 Olde Waterford Way Ste 205
Leland, NC 28451-4148
Phone (910) 399-4039

Other practice location 2

277 Highway 74 N Ste 203
Peachtree City, GA 30269-1571
Phone (678) 364-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200317000586 GA Practitioner - Physical Therapist in Private Practice 4587092002 Reassigns benefits to 3 organizations
I20220401001652 NC Practitioner - Physical Therapist in Private Practice 4587092002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1168 E Cutlar Xing
Leland, NC 28451-6426
Phone (919) 220-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014455GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Feb 22, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 22, 2020 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Nov 30, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 22, 2020 Accepting new patients
Emergeortho PA CurrentSince Feb 10, 2025 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Feb 22, 2020 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

1280 Highway 74 S
Ste 210
Peachtree City, GA 30269
Phone (770) 486-6398

277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337

611 Highway 74 S
Ste 100
Peachtree City, GA 30269
Phone (770) 632-6000

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1168 E Cutlar Crossing
Leland, NC 28451
Phone (910) 604-2414

503 Olde Waterford Way
Ste 205
Leland, NC 28451
Phone (910) 339-4039

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Interoperability endpoints

  • Direct secure messaging: jeffery.ebner.1@847.direct.athenahealth.com

Organizations & group practices 10

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1649819855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR XING",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516484",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Olde Waterford Way Ste 205",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514148",
            "country_code": "US",
            "telephone_number": "910-399-4039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 Highway 74 N Ste 203",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691571",
            "country_code": "US",
            "telephone_number": "678-364-0337",
            "fax_number": "678-364-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBNER",
        "first_name": "JEFFERY",
        "middle_name": "KEITH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014455",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.