Individual provider Active NPI

Eric Wade Sebo, PT

  • Orthopedic Physical Therapist
  • Zionsville, IN
National Provider Identifier
1659551992
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
05003967A Issued in IN
Practice address
6813 Wood Haven PL
Zionsville, IN 46077-8559
Phone
(317) 733-1641
Fax
(317) 733-1642
NPI assigned
Nov 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05003967A IN Primary
Geriatric Physical Therapist 2251G0304X 05003967A IN

Addresses

Primary practice location

6813 Wood Haven PL
Zionsville, IN 46077-8559

Mailing address

6813 Wood Haven PL
Zionsville, IN 46077-8559
Phone (317) 733-1641

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

State licenses

LicenseStateTypeSpecialty
05003967AINMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1659551992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 WOOD HAVEN PL",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778559",
            "telephone_number": "317-733-1641",
            "fax_number": "317-733-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 WOOD HAVEN PL",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778559",
            "telephone_number": "317-733-1641",
            "fax_number": "317-733-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBO",
        "first_name": "ERIC",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05003967A",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05003967A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.