Individual provider Active NPI

Rebecca Eberly, DPT

  • Physical Therapist
  • Allentown, PA
National Provider Identifier
1922525476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025291 Issued in PA
Practice address
2895 Hamilton Blvd Ste 105
Allentown, PA 18104-6172
Phone
(610) 841-3555
Fax
(610) 841-3558
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025291 PA Primary

Addresses

Primary practice location

2895 Hamilton Blvd Ste 105
Allentown, PA 18104-6172

Mailing address

2895 Hamilton Blvd Ste 105
Allentown, PA 18104-6172
Phone (610) 841-3555

Other names 1

  • Rebecca Ulicny Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018000579 PA Practitioner - Physical Therapist in Private Practice 5698041739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Restoration Space LLC 7 clinicians

Practice addresses (Care Compare)

406 Delaware Ave
Suite 4
Bethleham, PA 18015-1472
Phone (484) 241-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins Rehabilitation West, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
The Restoration Space LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients

Locations

2895 Hamilton Blvd
Ste 105
Allentown, PA 18104

225 Erdman St
Bangor, PA 18013
Phone (610) 432-9593

2045 Westgate Dr
Ste 303
Bethlehem, PA 18017

406 Delaware Ave
Ste 2
Bethlehem, PA 18015
Phone (610) 867-5260

406 Delaware Ave
Ste 4
Bethlehem, PA 18015
Phone (484) 241-4220

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922525476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-841-3555",
            "fax_number": "610-841-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 HAMILTON BLVD STE 105",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046172",
            "telephone_number": "610-841-3555",
            "fax_number": "610-841-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLY",
        "first_name": "REBECCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ULICNY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.