Mary Kay Eastman, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT-002517 Issued in OH

Practice address

507 Richland Ave
Suite 108
Athens, OH 45701-3700

Phone

(140) 593-8001

Fax

(740) 593-5968

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821115783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6379 GURA RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019615",
            "telephone_number": "740-593-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 RICHLAND AVE",
            "address_2": "SUITE 108",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457013700",
            "telephone_number": "140-593-8001",
            "fax_number": "740-593-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT-002517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann M Dyer
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• Earl L. Driggs
• Susan Elizabeth Eason, SLP
• Ebb & Flow Lactation Services (Julie Alayne Gladney)
• Taylor Ebert, LISW
• Ashley E Eblin
• Haley Eblin
• Harley C Eblin

• Pediatric Physical Therapist in Athens, OH
• Providers in Athens, OH by specialty
• Pediatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.