Marilyn Kay Evans X, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2060240 Issued in TX

Practice address

15600 San Pedro Ave
Suite 307
San Antonio, TX 78232-3740

Phone

(800) 437-7560

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043414527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 18TH AVE N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775904901",
            "telephone_number": "409-945-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE",
            "address_2": "SUITE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323740",
            "telephone_number": "800-437-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2060240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Anne Evans, CSFA
• Kimberly R Evans, MD
• Lacinda D Evans, R.N
• Leah Marie Evans
• Maggie Marie Evans, LPC-ASSOCIATE, NCC
• Mark Evans, PMHNP-BC
• Melissa Morante Evans, P.T
• Michelle Athalie Evans, D.C.
• Patreese Evans
• Rebekah Anne Evans

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.