Nicole Stoker Evans, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2003 Issued in NV

Practice address

1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4901

Phone

(702) 489-9217

Fax

(702) 489-9134

NPI assigned

May 12, 2006

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Nicole Chaunte Evans Professional name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anthem Physical Therapy IncGroup PAC ID 6709785934, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.75 of 100Reported as group

Quality

81.77

Improvement activities

40

Cost

63.46

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Anthem Physical Therapy, Inc.

  dba Synergy Physical Therapy

  • Physical Therapist
  • Henderson, NV
  • NPI 1669552873
  Medicare reassignment Care Compare group NPD Authorized official
• Synergy Physical Therapy Inc.

  • Physical Therapist
  • Henderson, NV
  • NPI 1912690678
  Authorized official Same address or phone
• Tru Physical Therapy Inc

  dba Tru Physical Therapy

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1740231224

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1033160262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W HORIZON RIDGE PKWY",
            "address_2": "STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124901",
            "telephone_number": "702-489-9217",
            "fax_number": "702-489-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124901",
            "telephone_number": "702-489-9217",
            "fax_number": "702-489-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NICOLE",
        "middle_name": "STOKER",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508879",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "EVANS",
            "middle_name": "CHAUNTE",
            "prefix": "MRS.",
            "credential": "MPT, CSCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janet L. Evans, NURSE PRACTITIONER
• Jessica Evans
• Kharisma Evans
• Letonya Evans
• Lorraine Schimming Evans
• Rebecca Jane Evans, CADC INTERN
• Shanta Denise Evans
• Treyana Monet Evans
• Sheila Marie Farrales Evaristo, APRN
• Svetlana Eveleigh, APRN

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.