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

Individual provider Physical Therapist · NPI 1366796112

Jonathan A Ebersole, PT, DPT is a Physical Therapist in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4831 S Laburnum Ave
Richmond, VA 23231-2713
Phone: (804) 222-0745
Fax: (804) 222-0748
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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 2305207689 (VA)

Record details

NPI number1366796112
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 1, 2012
Last updated in NPPESMarch 13, 2013
Mailing address771 Pilot House Dr, Suite A, Newport News, VA 23606-1990

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