Individual provider Active NPI

Kathleen M Evans

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1073674461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009130L Issued in PA
Practice address
111 Perrymont Rd
Pittsburgh, PA 15237-5239
Phone
(412) 348-0179
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT009130L PA Primary

Addresses

Primary practice location

111 Perrymont Rd
Pittsburgh, PA 15237-5239

Mailing address

701 Powers Dr
Wexford, PA 15090-9525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000230 PA Practitioner - Physical Therapist in Private Practice 1951404979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Barnabas Medical Center, IncGroup PAC ID 1153384839, 2 clinicians

Practice addresses (Care Compare)

5830 Meridian Rd
Gibsonia, PA 15044-9668
Phone 72444372315260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009130LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Barnabas Medical Center Inc CurrentSince Aug 1, 2016 Accepting new patients
St. Barnabas Medical Center, Inc CurrentSince Aug 1, 2016 Accepting new patients
St. Barnabas Medical Center Past Accepting new patients

Locations

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 443-0700

Organizations & group practices 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073674461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 POWERS DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PERRYMONT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375239",
            "telephone_number": "412-348-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009130L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • 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.
  • 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.