Active NPI
Michelle Ebeling, PT
- Physical Therapist
- Wilmington, OH
National Provider Identifier
1912470287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- OH009707
- Practice address
- 175 Cape May Dr
Wilmington, OH 45177-2065 - Phone
- (937) 382-2995
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | OH009707 | OH | Primary |
Addresses
Primary practice location
175 Cape May Dr
Wilmington, OH 45177-2065
Mailing address
1028 Quiet Brook TRL
Centerville, OH 45458-9406
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH009707 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1912470287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 QUIET BROOK TRL",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454589406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CAPE MAY DR",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772065",
"telephone_number": "937-382-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBELING",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "OH009707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.