Individual
TIMOTHY ADAM EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Mailing address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05006970
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561450
UNICARE
IN
05
—
200899220
—
IN
01
—
P00609673
MEDICARE RAILROAD
IN
Enumeration date
04/08/2008
Last updated
05/31/2016
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