KRISTY L EBINGER (PT) – Physical Therapist, NPI 1679554810

KRISTY L EBINGER (PT) is a healthcare provider. based in Boardman, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 09813 (OH). The NPI Number for KRISTY L EBINGER (PT) is 1679554810

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY L EBINGER (PT)
NPI
1679554810
Phone
(330) 965-9330
Address
7620 SOUTHERN BLVD
Enumeration Date
5 November 2005
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307996298
Graduation Year
2001 (25 years ago)
PAC ID
8729007075
Group Practice PAC ID
1850290644
Professional Enrollment ID
I20051115001171
Address ID
OH445112803YO2860XRDXX300

Contacts

Main Contact
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for KRISTY L EBINGER (PT)

  • 7620, Southern Boulevard, Roland Heights, McClurg, Boardman, Mahoning County, Ohio, 44512, United States

    SUITE 3

    BOARDMAN, OH 445125667

    Phone: (330) 965-9330

    Fax: (330) 965-9308

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051115001171IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850290644View full group profile
NameSpecialtyState
-OH
Qualified Speech Language PathologistOH
Physical Therapist In Private PracticeOH
-OH
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
-OH
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Can I verify KRISTY L EBINGER (PT) with an NPI only?
You can start verification with NPI 1679554810 for KRISTY L EBINGER (PT), then check state licensing separately.
Can I rely on KRISTY L EBINGER (PT) being an active provider?
As of the registry snapshot, KRISTY L EBINGER (PT) is marked active.
What is KRISTY L EBINGER (PT)'s primary classification?
Physical Therapist is the headline specialty for KRISTY L EBINGER (PT) here. Clinical services aligned with this taxonomy classification.
What area does KRISTY L EBINGER (PT) serve?
KRISTY L EBINGER (PT)'s listing highlights Boardman, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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