Individual provider Active NPI

Robert Eberhardt, DPT

  • Physical Therapist
  • Acton, MA
National Provider Identifier
1801345681
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22541 Issued in MA
Practice address
411 Mass Ave
Suite 302
Acton, MA 01720-3739
Phone
(978) 263-0007
Fax
(978) 263-0014
NPI assigned
Sep 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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 22541 MA Primary

Addresses

Primary practice location

411 Mass Ave
Suite 302
Acton, MA 01720-3739

Mailing address

411 Mass Ave
Suite 302
Acton, MA 01720-3739
Phone (978) 263-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161024000996 MA Practitioner - Physical Therapist in Private Practice 5698053841 Reassigns benefits to 1 organization
I20210914000763 CO Practitioner - Physical Therapist in Private Practice 5698053841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Boston UniversityGroup PAC ID 8921070822, 43 clinicians

Practice addresses (Care Compare)

915 Commonwealth Ave
Boston, MA 02215-1394
Phone (617) 358-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22541MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Physical Therapy LLC Physical Therapist CurrentSince Aug 11, 2021 Accepting new patients
Trustees of Boston University CurrentSince Apr 23, 2018 Accepting new patients
Integral Physical Therapy LLC Physical Therapist Current Accepting new patients
Trustees of Boston University Physical Therapist CurrentSince Apr 23, 2018 Accepting new patients
Trustees of Boston University Past Accepting new patients
Achieve Physical Therapy, PC Physical Therapist PastSince Aug 22, 2016 Accepting new patients

Locations

671 Mitchell Way
Ste 208
Erie, CO 80516
Phone 72060003701

11169 E I25 Frontage Rd
Ste C
Firestone, CO 80504
Phone 72060003701

915 Commonwealth Ave
Rear
Boston, MA 02215
Phone (617) 358-3400

915 Commonwealth Ave
Boston, MA 02215
Phone (617) 358-3400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1801345681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "address_2": "SUITE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MASS AVE",
            "address_2": "SUITE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARDT",
        "first_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.