Evan Ariel Walters

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

294652 Issued in CA

Practice address

104 Magaret Lane
Grass Valley, CA 95945

Phone

(530) 263-8006

Fax

(530) 273-7551

NPI assigned

May 18, 2018

Last updated

May 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Edge Physical Therapy IncGroup PAC ID 9830528751, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Edge Physical Therapy Inc

  dba Wildwood Physical Therapy Inc

  • Physical Therapist
  • Penn Valley, CA
  • NPI 1477196111
  Medicare reassignment Care Compare group
• Evolution Physical Therapy & Wellness

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1568053742
  Medicare reassignment NPD
• Walter Lawrence Abbey, RPT

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1073694519
  Medicare reassignment
• Wildwood Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Penn Valley, CA
  • NPI 1952300782
  NPD
• Evolution Physical Therapy & Wellness LLC

  dba Evolution Physical Therapy and Wellness

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1578022869
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1184114779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 EAST DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458502",
            "telephone_number": "530-273-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAGARET LANE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-263-8006",
            "fax_number": "530-273-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "EVAN",
        "middle_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "294652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "294652",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294652",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Walker
• Savannah M Walker
• Donald Walsh
• Walter Lawrence Abbey (A&A Physical Therapy)
• Alvin Reed Walters, FNP
• Kimberly Walters
• Lael A Walz
• Jackson Wang, MD
• Gem B Ward
• Minor E. Ward, M.D.

• Orthopedic Physical Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.