Tara Elizabeth Evans, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

111893 Issued in TX

Practice address

10219 Trailblazer LN
Houston, TX 77064-7046

Phone

(713) 480-8164

NPI assigned

May 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1073832259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 TRAILBLAZER LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 TRAILBLAZER LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647046",
            "telephone_number": "713-480-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "111893",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015190-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Mark Evans, LCSW, ACSW
• Sara Miriam Evans, LCSW
• Sasha Evans, PTA
• Scott E. Evans, M.D.
• Sue Evans, PTA
• Thadeus J Evans, RNFA
• Tracie Lynn Evans
• Tracy Lea Evans, RN
• Wendy Jo Evans, LCSW
• Zacarey Evans

• Pediatric Occupational Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.