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

Ryan Ebersole

Individual provider Physical Therapist · NPI 1811635162

Ryan Ebersole is a Physical Therapist in Private Practice in El Dorado Hills, California. Qualified in 2022, 4 years ago. Practices with El Dorado Physical Therapy Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

907 Embarcadero Dr
El Dorado Hills, CA 95762-4087
Phone: (916) 933-1221
Fax: (916) 933-0871
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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 12605 (MN)

Record details

NPI number1811635162
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESDecember 22, 2023
Certification dateDecember 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice El Dorado Physical Therapy Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in El Dorado Hills