Individual provider Active NPI

Kati Evans, D.P.T.

  • Physical Therapist
  • Rogers, AR
National Provider Identifier
1013339753
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013028662 Issued in MO
Practice address
5206 W Village Pkwy Ste 6
Rogers, AR 72758-8137
Phone
(479) 936-2978
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2013028662 MO Primary

Addresses

Primary practice location

5206 W Village Pkwy Ste 6
Rogers, AR 72758-8137

Mailing address

5089 S Vaughn Rd
Bentonville, AR 72713-9490
Phone (479) 685-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013028662MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Rogers CurrentSince Nov 18, 2025 Accepting new patients
Mercy Hospital Rogers PastSince Jan 19, 2025 Accepting new patients

Locations

5206 W Village Pkwy
Ste 6
Rogers, AR 72758
Phone (479) 531-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1013339753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5089 S VAUGHN RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139490",
            "telephone_number": "479-685-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 W VILLAGE PKWY STE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588137",
            "telephone_number": "479-936-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATI",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013028662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.