John Ebster, PHYSICAL THERAPY
Individual provider Active NPI Physical Therapy Assistant · Ripon, CA
NPI 1699148387 · NPPES record last updated Nov 4, 2015
Key facts
- NPI
- 1699148387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- AT1743 (CA)
- Practice address
- 103 E Main St
Ripon, CA 95366-2416 - Phone
- (209) 599-7073
- Fax
- (209) 599-7074
- NPI assigned
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1743 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xcel Orthopaedic Physical Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT1743 | CA | Yes |
Addresses
Primary practice location
103 E Main St
Ripon, CA 95366-2416
Mailing address
2406 Fremont Ave
Modesto, CA 95350-2288
Phone (209) 404-6674
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ18198Z | Other | CA | PTAN |
Other providers in Ripon, CA
- Daryl R Dutter MD Inc
- Daisy Diaz
- Meng-Ju Du
- Deanna Duncan
- Daryl Ray Dutter
- Yasmeen Elsumri
- Anne Engdahl
- Express Metabolics
- Lisa Fannin
- Thomas Ferry
All providers in Ripon, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.