WESLEY B EBERLIN (NPI# 1538173877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538173877 |
| Entity Type | Individual |
| Full Name | WESLEY B EBERLIN |
| Credential | PT |
| Practice Address |
6102 Tennessee Ave Fort Campbell KY 42223-5940 |
| Mailing Address |
650 Joel Dr Fort Campbell KY 42223-5318 |
| Practice Telephone | 2709564594 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT 28116 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 9906 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT00010095 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0210790 | 01 |
| Street Address |
6102 TENNESSEE AVE |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929925 | John Ryan Boesch | Dietitian, Registered | 6102 Tennessee Ave, Fort Campbell, KY 42223-5940 | 2019-02-21 |
| 1649665852 | Blanchfield Army Community Hospital | Clinic/Center | 6102 Tennessee Ave, Fort Campbell, KY 42223-5940 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483112 | Peter Terrebonne Jr. | Physical Therapist | 650 Joel Dr Ofc, Fort Campbell, KY 42223-5318 | 2019-08-26 |
| 1972926624 | Bryan Hoffman | Physical Therapist | Campbell Airfield Medical Home 7149 Black Sheep Run, Fort Campbell, KY 42223-1693 | 2014-01-31 |
| 1649793266 | Bobbi Lea Hawthorne | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-07-25 |
| 1972024842 | Cameron Harms | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-06-30 |
| 1093248098 | Jennifer Wardynski | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-04-06 |
| 1578935789 | Robin Embry | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-10-27 |
| 1144690470 | Erica Michelle Fallon | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223 | 2015-09-29 |
| 1710369327 | Nathaniel Angus | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-06-19 |
| 1932501475 | John Morrison | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-09-16 |
| 1205244373 | Shelby Conover | Physical Therapist | 650 Joel Dr, Fort Campbell, KY 42223 | 2014-08-01 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.