Active NPI
Jeffery Keith Ebner, PT, DPT
- Physical Therapist
- Leland, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20238
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT014455 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients | |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | 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
- 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.
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Charlotte, NC
- NPI 1497234611
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
dba Rehab South
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
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.