Kristy L Ebinger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

09813 Issued in OH

Practice address

7620 Southern Blvd
Suite 3
Boardman, OH 44512-5667

Phone

(330) 965-9330

Fax

(330) 965-9308

NPI assigned

Nov 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tudor Home Therapies IncGroup PAC ID 1850290644, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tudor Home Therapies Inc

  dba Tudor Physical Therapy Centers

  • Physical Therapist
  • Austintown, OH
  • NPI 1295783389
  Medicare reassignment Care Compare group NPD
• Southwoods Rehabilitation LLC

  dba Southwoods Physical Therapy

  • Special Hospital
  • Boardman, OH
  • NPI 1528477288

  Physical Therapist

  NPD (past)
• Tu Dor Home Therapies Inc

  dba Tu Dor Physical Therapy Centers

  • Physical Therapist
  • Boardman, OH
  • NPI 1164470233
  NPD (past)
• Tudor Home Therapies Inc

  dba Phoenix Rehabilitation and Health Services

  • Physical Therapist
  • Youngstown, OH
  • NPI 1063847747
  NPD (past)
• Tudor Home Therapies, Inc

  dba TuDor Physical Therapy Centers

  • Physical Therapist
  • Poland, OH
  • NPI 1568750875
  NPD (past)
• Tudor Home Therapies, Inc

  dba Tudor Physical Therapy Centers

  • Physical Therapist
  • Salem, OH
  • NPI 1902278971
  NPD (past)

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1679554810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBINGER",
        "first_name": "KRISTY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-05",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "09813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.