Organization Active NPI

Eric D Ewig Physical Therapy Inc

  • Physical Therapist
  • Napa, CA
National Provider Identifier
1811931892
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0PT236880 Issued in CA
Legal business name
ERIC D EWIG PHYSICAL THERAPY INC
Practice address
935 Trancas St Ste 4C
Napa, CA 94558-2944
Phone
(707) 255-1212
Fax
(707) 226-7409
NPI assigned
Jun 16, 2006
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Mr. Eric D Ewig, MS, PTNPI 1124019633
Title
Ceo
Phone
(707) 255-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0PT236880 CA Primary

Addresses

Primary practice location

935 Trancas St Ste 4C
Napa, CA 94558-2944

Mailing address

935 Trancas St Ste 4C
Napa, CA 94558-2944
Phone (707) 255-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120516000550 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688634454 Receives reassigned benefits from 2 practitioners
Practice locations: Napa, CA

National Provider Directory

National Provider Directory

Locations

935 Trancas St
Ste 4C
Napa, CA 94558
Phone (707) 255-1212

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1811931892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TRANCAS ST STE 4C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582944",
            "telephone_number": "707-255-1212",
            "fax_number": "707-226-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRANCAS ST STE 4C",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582944",
            "telephone_number": "707-255-1212",
            "fax_number": "707-226-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D EWIG PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "EWIG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-255-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0PT236880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.