Violet Eberly, Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00010071 Issued in WA

Legal business name

VIOLET EBERLY, PHYSICAL THERAPY, PLLC

Practice address

56 N Clark Ave
Republic, WA 99166-5024

Phone

(509) 207-9060

NPI assigned

Jan 5, 2018

Last updated

Jan 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Violet Louise Eberly, PT, DPT

Title

Owner/Physical Therapist

Phone

(509) 207-9060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1922515485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LAMBERT CREEK RD",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991669558",
            "telephone_number": "509-207-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N CLARK AVE",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991665024",
            "telephone_number": "509-207-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET EBERLY, PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "EBERLY",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-207-9060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00010071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa L Taylor
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• Angie Tietsort, LMP
• Steven George Tietsort, D.C.
• Sarah G Walden, ARNP
• Suzanne Ward, MSW LICSWA
• Cindy Kay Watson
• Silas Wiefelspuett, MD
• Clara Denise Wisener, LMP

• Physical Therapy Clinic/Center in Republic, WA
• Providers in Republic, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.