Timothy Everett, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

P12653 Issued in NC

Practice address

15 Jane Jacobs Rd
Suite 202
Black Mountain, NC 28711-6306

Phone

(828) 669-8643

Fax

(828) 669-8648

NPI assigned

May 4, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1174882542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LA MANCHA DR APT B",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052195",
            "telephone_number": "337-581-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JANE JACOBS RD",
            "address_2": "SUITE 202",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287116306",
            "telephone_number": "828-669-8643",
            "fax_number": "828-669-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "TIMOTHY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT27234",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P12653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Doreen English, LCMHC
• Madison Elizabeth Ericksen, LCMHC
• Eileen Klein Eudy, PA-C
• Steven Thomas Evans, PHARMD
• Ashley L. Everett, DPT
• Allison Falk, PHARMD
• Family Care Home PA
• Crystal C Ficker
• Emily Fink-Hanks
• Michael Francis Fiore, PH.D.

• Orthopedic Physical Therapist in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.