Individual provider Active NPI

Ashlea A Eubanks, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1952655813
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1198011 Issued in TX
Practice address
4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone
(713) 838-9050
Fax
(713) 838-0926
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3555 AR
Physical Therapist 225100000X PT010341 GA
Physical Therapist 225100000X 1198011 TX Primary

Addresses

Primary practice location

4888 Loop Central Dr Ste 200
Houston, TX 77081-2227

Mailing address

4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone (713) 838-9050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604001385 TX Practitioner - Physical Therapist in Private Practice 6709357387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 County Rd
Suite 3111
De Kalb, TX 75559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3555ARMDPhysical Therapist
PT010341GAMDPhysical Therapist
1198011TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals of Greater Houston Inc. CurrentSince Dec 5, 2021 Accepting new patients
Easter Seals of Greater Houston, Inc. PastSince Dec 5, 2021 Accepting new patients

Locations

4500 Bissonnet St
Ste 340
Bellaire, TX 77401
Phone (713) 838-9050

4888 Loop Central Dr
Ste 200
Houston, TX 77081
Phone (713) 838-9050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1952655813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-838-9050",
            "fax_number": "713-838-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-838-9050",
            "fax_number": "713-838-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "ASHLEA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3555",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010341",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1198011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.