Individual provider Active NPI

Thomas Howard Eberle, MSPT, DPT

  • Orthopedic Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1922387547
Registry record updated Aug 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT17505 Issued in FL
Practice address
9070 Kimberly Blvd Ste 24
Boca Raton, FL 33434-2861
Phone
(561) 482-6900
Fax
(561) 482-6023
NPI assigned
Aug 13, 2011
Last updated
Aug 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT17505 FL Primary

Addresses

Primary practice location

9070 Kimberly Blvd Ste 24
Boca Raton, FL 33434-2861

Mailing address

9070 Kimberly Blvd Ste 24
Boca Raton, FL 33434-2861
Phone (561) 482-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000503 FL Practitioner - Physical Therapist in Private Practice 8022283167 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17505FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus by the Sea LLC CurrentSince Aug 1, 2023 Accepting new patients
Donner Physical Therapy and Sports Rehab Inc Orthopedic CurrentSince Nov 1, 2023 Accepting new patients
Cora Health Services, Inc Past Accepting new patients

Locations

2425 NE 50th St
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 909-0270

4747 N Ocean Dr
Ste 261
Lauderdale by the Sea, FL 33308
Phone (954) 545-4922

8040 Peters Rd
Ste H107
Plantation, FL 33324
Phone (954) 296-8258

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1922387547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342861",
            "telephone_number": "561-482-6900",
            "fax_number": "561-482-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 KIMBERLY BLVD STE 24",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342861",
            "telephone_number": "561-482-6900",
            "fax_number": "561-482-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "THOMAS",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "MSPT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-13",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT17505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2011; 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.