Active NPI
Deborah Lynne Evans, PT
- Physical Therapist
- Olive Branch, MS
National Provider Identifier
1144872672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4753
- Practice address
- 4035 Arbor CV
Olive Branch, MS 38654-8586 - Phone
- (901) 340-8127
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4753 | TN | Primary |
Addresses
Primary practice location
4035 Arbor CV
Olive Branch, MS 38654-8586
Mailing address
4035 Arbor CV
Olive Branch, MS 38654-8586
Phone (901) 340-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4753 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1144872672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 ARBOR CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548586",
"telephone_number": "901-340-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 ARBOR CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548586",
"telephone_number": "901-340-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DEBORAH",
"middle_name": "LYNNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "4753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
- Edward Burris Eldred, D.O.
- Elite Practice Management
- Ashley Ellis, PHARM.D.
- Tina Ellis, APRN
- Tina Marie Erber, PT
- L Gregory Evans, DDS
- Excellence Concierge Medicine LLC
- Exos Physical Therapy & Sports Medicine, LLC
- Exos Physical Therapy and Sports Medicine, LLC
- Eye Care Surgery Center of Olive Branch,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.