NPIMap

Organization Active NPI

Evans Rehabilitation Services, LLC

Doing business as Lake Oconee Rehabilitation and Performance Center

  • Physical Therapist
  • Evans, GA
National Provider Identifier
1093715773
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVANS REHABILITATION SERVICES, LLC
Doing business as
Lake Oconee Rehabilitation and Performance Center
ProMotion Physical Therapy
Practice address
415 Town Park Blvd
Suite 201
Evans, GA 30809
Phone
(706) 868-1707
Fax
(706) 868-1351
NPI assigned
Jul 26, 2005
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Mr. Jason A Lott, PTNPI 1255387304
Title
Owner
Phone
(706) 868-1707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X GA Primary

Addresses

Primary practice location

415 Town Park Blvd
Suite 201
Evans, GA 30809

Mailing address

415 Town Park Blvd.
Evans, GA 30809
Phone (706) 868-1707

Other practice location 1

5003 Steiner Way Ste 2
Grovetown, GA 30813-5018
Phone (706) 868-1707

Other practice location 2

1001 Village Park Dr Ste 105
Greensboro, GA 30642-5101
Phone (706) 868-1707

Other practice location 3

123 Harmony Xing
Ste 5, Bldg 1700
Eatonton, GA 31024
Phone (706) 454-1811

Other practice location 4

150 Main St
Thomson, GA 30824-2662
Phone (706) 868-1707

Other practice location 5

2115 Windsor Spring Rd Ste 23
Augusta, GA 30906-4883
Phone (706) 860-5888

Other names 2

  • Lake Oconee Rehabilitation and Performance Center Doing business as
  • ProMotion Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060119000382 GA Part B Supplier - Clinic/Group Practice 2769467034 Receives reassigned benefits from 31 practitioners
Practice locations: Grovetown, GA; Thomson, GA; Greensboro, GA; Evans, GA; Eatonton, GA; Augusta, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2115 Windsor Spring Rd
Ste 2300
Augusta, GA 30906

123 Harmony Xing
#5
Eatonton, GA 31024
Phone (706) 454-1811

415 Town Park Blvd
Ste 201
Evans, GA 30809

1000 Cowles Clinic Way
Ste D-100
Greensboro, GA 30642
Phone (706) 454-1394

5003 Steiner Way
Ste 2
Grovetown, GA 30813

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1093715773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD.",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-868-1707",
            "fax_number": "706-868-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "address_2": "SUITE 201",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-868-1707",
            "fax_number": "706-868-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5003 Steiner Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308135018",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Village Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425101",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Harmony Xing",
            "address_2": "Ste 5, Bldg 1700",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "31024",
            "country_code": "US",
            "telephone_number": "706-454-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308242662",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Windsor Spring Rd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309064883",
            "country_code": "US",
            "telephone_number": "706-860-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVANS REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-868-1707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Oconee Rehabilitation and Performance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMotion Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.