Nicole Dominique Evans, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2168897 Issued in TX

Practice address

20639 Kuykendahl Rd
Spring, TX 77379-3586

Phone

(832) 698-0111

NPI assigned

Jun 4, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Sterling Ridge Orthopaedics and Sports Medicine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • The Woodlands, TX
  • NPI 1881626117

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1205575412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20639 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793586",
            "telephone_number": "832-698-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20639 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793586",
            "telephone_number": "832-698-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Fish Creek Thoroughfare",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773166965",
            "country_code": "US",
            "telephone_number": "936-272-0791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6767 Lake Woodlands Dr",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773822566",
            "country_code": "US",
            "telephone_number": "281-364-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NICOLE",
        "middle_name": "DOMINIQUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2168897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eudaimonia Mindscape Counseling
• Euston Associates, P.a.
• Gregory Evans
• Laney Evans, M.S., CCC-SLP
• Nicole Evans
• Phil Evans
• Taminika Evans
• Everest Dental, PA
• Erica Everett, NP
• Jonathan C Everett, D.C

• Physical Medicine & Rehabilitation Physician in Spring, TX
• Providers in Spring, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.