PHYLLIS GRIMMER EBERLINE (PT,DPT) – Physical Therapist, NPI 1699037804

PHYLLIS GRIMMER EBERLINE (PT,DPT) is a healthcare provider. based in Tappahannock, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT,DPT. They hold a License No. 2305000880 (VA). The NPI Number for PHYLLIS GRIMMER EBERLINE (PT,DPT) is 1699037804

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
PHYLLIS GRIMMER EBERLINE (PT,DPT)
NPI
1699037804
Phone
(804) 443-4850
Address
PO BOX 1401
Enumeration Date
13 June 2012
Last Update Date
7 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
6204086499
Group Practice PAC ID
2567484595
Professional Enrollment ID
I20121024000537
Address ID
VA225601401TAPOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for PHYLLIS GRIMMER EBERLINE (PT,DPT)

  • PO BOX 1401

    TAPPAHANNOCK, VA 225601401

    Phone: (804) 443-4850

    Fax: (804) 443-4851

    Type: Mailing

  • 900 SOUTH CHURCH LANE

    TAPPAHANNOCK, VA 22560

    Phone: (804) 443-4850

    Fax: (804) 443-4851

    Type: Location

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: 2012-10-24

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
I20121024000537IPhysical Therapist In Private PracticeVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22652$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10335$0
97530Therapy procedure using functional activities7722$0
97016Application of blood vessel compression device4618$0
97032Application of electrical stimulation with therapist present, each 15 minutes3621$0
View full utilization report →

Insurance plans in this area (ZIP 22560)

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Provider's Procedures

PHYLLIS GRIMMER EBERLINE (PT,DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVA97001Physical therapy evaluation4746
PHYSICAL THERAPYVA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1556165

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: 2567484595View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

How do payers reference PHYLLIS GRIMMER EBERLINE (PT,DPT)?
For PHYLLIS GRIMMER EBERLINE (PT,DPT), use NPI 1699037804 as the unique 10-digit identifier.
Is PHYLLIS GRIMMER EBERLINE (PT,DPT) shown as active in public data?
Registry records indicate PHYLLIS GRIMMER EBERLINE (PT,DPT) maintains an active NPI.
What expertise is attributed to PHYLLIS GRIMMER EBERLINE (PT,DPT)?
PHYLLIS GRIMMER EBERLINE (PT,DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Virginia is PHYLLIS GRIMMER EBERLINE (PT,DPT) registered?
Use Tappahannock, Virginia as the headline location for PHYLLIS GRIMMER EBERLINE (PT,DPT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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