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

Jacqueline Ebben, PT

Individual provider Physical Therapist · NPI 1417115940

Jacqueline Ebben, PT is a Physical Therapist in Birmingham, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1185 S Adams Rd
Birmingham, MI 48009-7101
Phone: (248) 988-8098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501012496 (MI)

Record details

NPI number1417115940
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 31, 2008
Last updated in NPPESMay 31, 2008
Mailing address2964 Riverside Dr, Lake Orion, MI 48359-1593

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