Active NPI
Myrtle Evans, DRPH, MSPH, OTR/L
- Occupational Therapist
- Largo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04664
- Practice address
- 1300 Mercantile LN Ste 129-24
Largo, MD 20774-5327 - Phone
- (240) 854-8633
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 04664 | MD | Primary |
Addresses
Primary practice location
1300 Mercantile LN Ste 129-24
Largo, MD 20774-5327
Mailing address
1300 Mercantile LN Ste 129-24
Largo, MD 20774-5327
Phone (240) 854-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Meharry Medical College School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1300 Mercantile LN
Suite 129 22
Largo, MD 20774-5327
Phone (240) 854-8633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outcome Therapy Rehab and Educational Solutions | Occupational Therapist | Current | Accepting new patients |
Locations
12530 Fairwood Pkwy
Ste 102
Bowie, MD 20720
Phone (240) 414-4430
4483 Forbes Blvd
Ste A
Lanham, MD 20706
Phone (240) 467-5732
1300 Mercantile Ln
Ste 12924
Largo, MD 20774
1300 Mercantile Ln
Ste 12922
Largo, MD 20774
Phone (240) 854-8633
Organizations & group practices 1
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": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1144925090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 129-24",
"city": "LARGO",
"state": "MD",
"postal_code": "207745327",
"telephone_number": "240-854-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 129-24",
"city": "LARGO",
"state": "MD",
"postal_code": "207745327",
"telephone_number": "240-854-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MYRTLE",
"name_prefix": "Dr.",
"credential": "DRPH, MSPH, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.