John Evangelista, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01477000 Issued in NJ

Practice address

523 Fellowship Rd Ste 290
Mount Laurel, NJ 08054-3418

Phone

(856) 424-5552

Fax

(856) 424-5559

NPI assigned

Feb 26, 2013

Sex

Male

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

Enrolled in NJ, PA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multiple Sclerosis Specialty CenterGroup PAC ID 6901965300, 16 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Multiple Sclerosis Specialty Center

  • Neurology Physical Therapist
  • Horsham, PA
  • NPI 1124274501

  NJ

  Medicare reassignment Care Compare group
• Multiple Sclerosis Specialty Center

  • Neurology Physical Therapist
  • Horsham, PA
  • NPI 1366312241
  NPD
• Advance Therapy Associates

  • Physical Therapy Assistant
  • Cherry Hill, NJ
  • NPI 1891165189
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1134469208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 290",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543418",
            "telephone_number": "856-424-5552",
            "fax_number": "856-424-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 FELLOWSHIP RD STE 290",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543418",
            "telephone_number": "856-424-5552",
            "fax_number": "856-424-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01477000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Georgia Choudhry Eriksson, DO
• Leigh Ann Thatcher Erlanger, OT
• Sarah R Eskew
• Emily Lauren Essex
• Essilfie Psychiatric and Mental Health
• Casey Evans
• Evesham Township Chiropractic LLC
• Exhortations, LLC
• F and D Enterprises LLC.
• Diane Fabii, MS

• Physical Therapist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.