Edward Thomas Ernst Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03677 Issued in KS

Practice address

2121 Meadowlark Rd
Manhattan, KS 66502-4521

Phone

(909) 576-9180

NPI assigned

Apr 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1821619875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BAYSIDE WAY APT 201",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027259",
            "telephone_number": "909-576-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MEADOWLARK RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024521",
            "telephone_number": "909-576-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1181",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Engle, D.P.T.
• Taylor Epp
• Eric J. Wisdom D.D.S., P.a.
• Erickson Chiropractic Health Center, P.a.
• Kenyon Lance Erickson, D.C.
• Melissa Eshelman, MSW, LSCSW
• Danielle Estrada
• Brooke D Ethridge, RN
• Apostolos Evangelidis, MD
• Jessica Beth Evangelidis, RDH, OMT

• Physical Therapy Assistant in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.