CALEB LEE EBBETS (NPI# 1811468796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811468796 |
Entity Type | Individual |
Full Name | CALEB LEE EBBETS |
Practice Address |
1459 Montreal Road Medical Office Building, Suite 301 Tucker GA 30084 |
Practice Telephone | 4042513420 |
Enumeration Date | 2018-12-17 |
Last Update Date | 2018-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT013805 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1459 MONTREAL ROAD MEDICAL OFFICE BUILDING, SUITE 301 |
City | TUCKER |
State | GA |
Zip Code | 30084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
1396114674 | Ashley Carrigan | Behavioral Analyst | 3786 Lavista Road, Suite 104, Tucker, GA 30084 | 2015-09-17 |
Find all providers in zip 30084 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013211 | Kelsey Thomasson Parramore | Physical Therapist | 1185 Zonolite Rd Ne, Atlanta, GA 30306-2011 | 2020-04-27 |
1518595990 | Sarah Nameth | Physical Therapist | 3155 N Point Pkwy Ste A100, Alpharetta, GA 30005-5491 | 2020-03-31 |
1518595149 | Taylor Crow Middleton | Physical Therapist | 605 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-30 |
1528695780 | Jodi Long | Physical Therapist | 1675 Cumberland Pkwy Se Ste 305, Smyrna, GA 30080-6360 | 2020-03-26 |
1629624002 | Aire Physical Therapy LLC | Physical Therapist | 659 Auburn Ave Ne Ste G06, Atlanta, GA 30312-1953 | 2019-08-12 |
1326502303 | Megan Elizabeth Maxwell | Physical Therapist | 3187 Clarks Bridge Rd, Gainesville, GA 30506-3721 | 2019-01-24 |
1043647514 | Asc Physical Therapy | Physical Therapist | 2581 Gresham Rd Se, Atlanta, GA 30316-4147 | 2013-09-30 |
1871898676 | Steve Earles | Physical Therapist | 1514 Piedmont Lake Road, Pine Mountain, GA 31822 | 2011-01-26 |
1083936074 | Starting Block Sports Medicine & Rehabilitation | Physical Therapist | 105 Smoke Hill Ln, Suite 120, Woodstock, GA 30188-7364 | 2010-02-18 |
1538394283 | Eric Allen | Physical Therapist | 1230 Peachtree St, Ste 1800, Atlanta, GA 30309-3574 | 2009-05-26 |
Find all providers with the same taxonomy |
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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.