Evaldas Nakvosas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.008040 Issued in IL

Practice address

4735 Willow Springs Rd
La Grange, IL 60525-6130

Phone

(708) 352-6900

NPI assigned

Mar 30, 2021

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1245818483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16W308 95TH PL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276808",
            "telephone_number": "773-341-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256130",
            "telephone_number": "708-352-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKVOSAS",
        "first_name": "EVALDAS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipankar Mukhopadhyay
• Anna-Theresa Sophie Muller, MD
• Kelly Dawn Murphy, DPT
• Sandee Muzyka, OTR/L
• Emily Ann Nadeau, M.S. CCC-SLP
• Nancy Donna Cozzi, D.D.S.
• Lia Nandi, MD
• Natural Roots Speech Therapy PLLC
• Lavanya Nese, MD
• Carolyn J Newcome-Sparks, O.D.

• Physical Therapy Assistant in La Grange, IL
• Providers in La Grange, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.