Jeffery Scott Evanson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0857 Issued in NH

Practice address

84 Pine St
Newport, NH 03773-2005

Phone

(603) 863-1020

Fax

(603) 863-4964

NPI assigned

Jun 20, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184829988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 BOROUGH RD",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036034420",
            "telephone_number": "603-826-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PINE ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037732005",
            "telephone_number": "603-863-1020",
            "fax_number": "603-863-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANSON",
        "first_name": "JEFFERY",
        "middle_name": "SCOTT",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "0857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Dorr, R.PH.
• Amanda L Dostaler, DO
• Megan Dunn
• Amy Elizabeth Eagan Akers, ED.S
• Heath L Edwards, DC
• Janet Feuring-Russell
• Frank J Benenati, DDS
• Bonnie Gervais, BS
• Robin F Geschwindner, ARNP
• Elizabeth D. Gibbs, PH.D.

• Physical Therapy Assistant in Newport, NH
• Providers in Newport, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.