Sherri J. Ebetino, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002231 Issued in GA

Practice address

1706 Magnolia Way
Augusta, GA 30909

Phone

(706) 210-7529

Fax

(706) 312-7610

NPI assigned

Mar 26, 2007

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1717/brand/1/csg/1/fhir/r4

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.

• Sports Medicine Associates of Augusta, LLC

  dba Champion Orthopedics

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1043351703
  NPD (past)
• Sports Medicine Associates of Augusta, LLC

  dba Champion Orthopedics

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1255565503
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1972621332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 J DEWEY GRAY CIR",
            "address_2": "SUITE 308",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096584",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBETINO",
        "first_name": "SHERRI",
        "middle_name": "J.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Eaves
• Kanisha Nicole Eberhardt, QASP-S
• Chelsea R Eberhart
• Frank Andrew Eberheart, PA-C
• Matthew Daniel Eberly Sr., MD
• Marian T Ebron, M.D.
• Ebs Endodontics LLC
• Elizabeth Echols, PHARMD
• Joseph Martin Echols Jr., D.M.D.
• Steven R Echols, DMD

• Physical Therapy Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.