Individual
ANGELA FANELLA EBERT
Active
Individual
ANGELA FANELLA EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079UA
BCBS
NC
01
—
198206
MEDCOST
NC
01
—
250087A
MEDICARE PTAN
NC
05
—
7212246
—
NC
01
—
P00401782
MEDICARE RAILROAD
NC
Enumeration date
04/10/2006
Last updated
09/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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