Stephanie Eberhart in Fort Wayne - Physical Therapy Assistant

Stephanie Eberhart - NPI 1073623948

Stephanie Eberhart is a Physical Therapy Assistant in Fort Wayne, Indiana. Stephanie Eberhart practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Stephanie Eberhart is 1073623948. The last update date is 2007-07-08.

Stephanie Eberhart's current location address is 5310 Merchandise Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604849491. The mailing address for Stephanie Eberhart is 5310 Merchandise Dr, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie Eberhart
Address 5310 Merchandise Dr, Fort Wayne, Indiana
Phone Number 2604849491
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1073623948
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5310 Merchandise Dr
City Fort Wayne
State Indiana (IN)
Post Code 468255140
Phone Number 2604849491
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2306602144 VA LICENSE #
06003225A IN LICENSE #

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FAQs about Stephanie Eberhart

What is the unique provider identifier assigned to Stephanie Eberhart?

The Stephanie Eberhart has been issued the NPI (National Provider Identifier) 1073623948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Stephanie Eberhart?

The Stephanie Eberhart is physically situated at 5310 Merchandise Dr, in the city of Fort Wayne, state of IN, with the postal code 468255140.

What is the Stephanie Eberhart's area of specialization and corresponding taxonomy classification?

The Stephanie Eberhart's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.

On what date was the 1073623948 assigned to Stephanie Eberhart?

The Stephanie Eberhart was issued its 1073623948 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Stephanie Eberhart most recently updated or revised?

The information pertaining to Stephanie Eberhart, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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