| Jonathan A Ebersole, PT, DPT | |
|
4831 S Laburnum Ave, Richmond, VA 23231-2713 | |
| (804) 222-0745 | |
| (804) 222-0748 |
| Full Name | Jonathan A Ebersole |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4831 S Laburnum Ave, Richmond, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366796112 | NPI | - | NPPES |
| C05954 | Other | VA | GROUP MEDICARE PTAN |
| Q41989A | Other | VA | MEDICARE PTAN |
| 1366796112 | Other | VA | MEDICAID QMB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305207689 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan A Ebersole, PT, DPT 771 Pilot House Dr, Suite A, Newport News, VA 23606-1990 Ph: (757) 873-2302 | Jonathan A Ebersole, PT, DPT 4831 S Laburnum Ave, Richmond, VA 23231-2713 Ph: (804) 222-0745 |
Aryn Carlson Ix, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Westwood Ave, Richmond, VA 23227 Phone: 804-278-8977 Fax: 804-278-8977 | |
Kathleen Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3811 Fauquier Ave, Richmond, VA 23227 Phone: 804-261-5978 | |
Meagan Cohen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Willow Lawn Dr Ste 230, Richmond, VA 23230 Phone: 804-340-1193 | |
Dr. Laurel Hackett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 | |
Mr. Peter Vincent Catizone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8906 W Broad St, Suite F, Richmond, VA 23294 Phone: 804-965-9990 Fax: 804-965-0997 | |
Mrs. Shereeta Mclane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4101 Nine Mile Rd, Richmond, VA 23223 Phone: 804-222-1694 | |
Stephen Douglas Vesely Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3536 Grove Ave, Richmond, VA 23221 Phone: 804-673-9355 Fax: 804-359-8344 |