Individual provider Active NPI

Evan Eibner, DPT

  • Physical Therapist
  • Lewes, DE
National Provider Identifier
1679347199
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014787 Issued in 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
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014787 DE Primary

Addresses

Primary practice location

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

Mailing address

659 S Salisbury Blvd Ste 1B
Salisbury, MD 21801-5458
Phone (410) 831-3226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121000775 DE Practitioner - Physical Therapist in Private Practice 2264880897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.34 of 100Reported as group
Quality
71.58
Improvement activities
40
Cost
69.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014787DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients

Locations

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

20684 John J Williams Hwy
Ste 2
Lewes, DE 19958
Phone (302) 945-0200

34434 King Street Row
Ste 1
Lewes, DE 19958
Phone (302) 200-9920

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

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, 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": "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": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.