Active NPI
Kayla Eiben, DPT
- Physical Therapist
- Independence, KY
National Provider Identifier
1801407994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-007981
- Practice address
- 1814 Declaration Dr
Independence, KY 41051-8196 - Phone
- (859) 356-4600
- Fax
- (859) 356-4611
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-007981 | KY | Primary |
Addresses
Primary practice location
1814 Declaration Dr
Independence, KY 41051-8196
Mailing address
7567 Central Parke Blvd Ste a
Mason, OH 45040-6855
Phone (513) 701-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-007981 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1801407994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7567 CENTRAL PARKE BLVD STE A",
"city": "MASON",
"state": "OH",
"postal_code": "450406855",
"telephone_number": "513-701-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 DECLARATION DR",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410518196",
"telephone_number": "859-356-4600",
"fax_number": "859-356-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIBEN",
"first_name": "KAYLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT-007981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.