Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adrienne Ebersole, DPT

Individual provider Physical Therapist · NPI 1750909784

Adrienne Ebersole, DPT is a Physical Therapist in Private Practice in O Fallon, Missouri. Qualified in 2020, 6 years ago. Practices with Atr Ryan LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

514 S Main St
O Fallon, MO 63366-2535
Phone: (636) 730-1188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2020016709 (MO)

Record details

NPI number1750909784
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020
Mailing address14515 N Outer 40 Rd Ste 110, Chesterfield, MO 63017-5746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Atr Ryan Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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