Paul Harrison Eberhart III

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022451 Issued in PA

Practice address

938 Shadle Rd
Jersey Shore, PA 17740-9134

Phone

(570) 745-2301

NPI assigned

Dec 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Mountain Physical Therapy IncGroup PAC ID 5395719272, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Central Mountain Physical Therapy Inc

  • Specialist
  • Lock Haven, PA
  • NPI 1679574859

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1700251691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 SHADLE RD",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177409134",
            "telephone_number": "570-745-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SHADLE RD",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177409134",
            "telephone_number": "570-745-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHART",
        "first_name": "PAUL",
        "middle_name": "HARRISON",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Davis, PA-C
• Elaine Dorney, PT
• Mistraine Durand-Douglas, D.O.
• Angela Rose Early, OTR/L
• Rachel Ebeling-Labant, PTA
• Ronald Noel Eister, M.D.
• Luke Engel
• Kristin Fanning
• Steven Farina, DPM
• Tess Frank, PT

• Physical Therapist in Jersey Shore, PA
• Providers in Jersey Shore, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.