Evan Eibner, DPT

Key facts

NPI

1679347199

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

J1-0014787 (DE)

Practice address

34434 King Street Row Ste 1
Lewes, DE 19958-4987

Phone

(302) 200-9920

Fax

(302) 703-6652

NPI assigned

Nov 15, 2023

Sex

Male

Sole proprietor

No

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.

• Konlian,O'Neill & Associates, P.a. Rehabilitation Practitioner · Lewes, DE · NPI 1992738439
  Medicare reassignment NPD DE · PHYSICAL THERAPIST
• Konlian,O'Neill & Associates, P.a. Physical Therapist · Easton, MD · NPI 1609809151
  NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score

75.34 of 100 (group)

Quality

71.58

Improvement activities

40

Cost

69.89

Medicare participation

Medicare fee-for-service enrollment

Enrolled in DE

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2023.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1679347199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S SALISBURY BLVD STE 1B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015458",
            "telephone_number": "410-831-3226",
            "fax_number": "410-572-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34434 KING STREET ROW STE 1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584987",
            "telephone_number": "302-200-9920",
            "fax_number": "302-703-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBNER",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lewes, DE · Physical Therapist in Delaware