KEITH EBERHARDT (NPI# 1417324971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417324971 |
| Entity Type | Individual |
| Full Name | KEITH EBERHARDT |
| Credential | PTA |
| Practice Address |
8540 Scarborough Dr Suite 200 Colorado Springs CO 80920-7502 |
| Practice Telephone | 7196307500 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 10043 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8540 SCARBOROUGH DR SUITE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916881 | Charles Herbert Ripp | Anesthesiology | 8540 Scarborough Dr, Suite 370, Colorado Springs, CO 80920-7502 | 2005-07-14 |
| 1548869902 | Sandra Ellen Ziegler | Nurse Practitioner | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2020-10-18 |
| 1437762226 | Poudre Valley Medical Group, LLC | Family Medicine | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2020-08-31 |
| 1477182483 | Danny Lee Holt | Physical Therapist | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2020-04-02 |
| 1609433473 | Diane Marie Hall | Speech-Language Pathologist | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2019-05-28 |
| 1659863629 | Ryan Thaxton | Speech-Language Pathologist | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2018-06-05 |
| 1821512831 | Kathryn Livingston | Physical Therapy Assistant | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2017-08-01 |
| 1568998854 | Sara Marie Powers | Occupational Therapy Assistant | 8540 Scarborough Dr, #200, Colorado Springs, CO 80920-7502 | 2017-05-04 |
| 1003341397 | Brooks Thompson | Physical Therapy Assistant | 8540 Scarborough Dr, Suite 200, Colorado Springs, CO 80920-7502 | 2017-04-25 |
| 1184168882 | Kelly Pankratz | Physical Therapy Assistant | 8540 Scarborough Dr, Colorado Springs, CO 80920-7502 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1104439157 | Tyler Yukio Bachtel | Physical Therapy Assistant | 2955 Professional Pl Ste 200, Colorado Springs, CO 80904-8140 | 2020-08-28 |
| 1679184022 | Victoria Gutierrez | Physical Therapy Assistant | 5266 Balsam St, Colorado Springs, CO 80923-5103 | 2020-08-10 |
| 1396394318 | Albert Lee Reed Jr. | Physical Therapy Assistant | 3209 E Fountain Blvd Apt 303, Colorado Springs, CO 80910-7202 | 2019-09-11 |
| 1205395332 | Marcus Monroe Barnett | Physical Therapy Assistant | 2105 University Park Blvd, Colorado Springs, CO 80918-3691 | 2019-03-18 |
| 1326519315 | Molly Mckenna | Physical Therapy Assistant | 3740 Cragwood Dr, Colorado Springs, CO 80907-4912 | 2018-12-17 |
| 1477069201 | Kaitlyn Manke | Physical Therapy Assistant | 135 W Rockrimmon Blvd Apt 10, Colorado Springs, CO 80919-4040 | 2017-12-15 |
| 1972018695 | Mary Louise Barker | Physical Therapy Assistant | 723 N Institute St, Colorado Springs, CO 80903-2852 | 2017-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1295273696 | Georgia Pauls | Physical Therapy Assistant | 6450 Maroon Mesa Dr, Colorado Springs, CO 80918-6103 | 2017-02-06 |
| 1154867331 | Macie Hair | Physical Therapy Assistant | 417 E Kiowa St Unit 307, Colorado Springs, CO 80903-3494 | 2017-01-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.