Theresa Ann Evans, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-02200 Issued in KS

Practice address

1603 N Chapel Hill St
Wichita, KS 67206-5506

Phone

(316) 440-6551

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Female

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)

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

• Eclipse Healthcare, L.L.C.

  • Physical Therapist
  • Tulsa, OK
  • NPI 1225433725

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1265805188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 SE TECUMSEH RD",
            "city": "BERRYTON",
            "state": "KS",
            "postal_code": "664099644",
            "telephone_number": "785-409-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 N CHAPEL HILL ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672065506",
            "telephone_number": "316-440-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02200",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012036264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Evans, PHARMD
• Roger Williams Evans, M.D.
• Shawntel Marie Evans, LPC-T
• Shayna Evans
• Shelby Evans, PH.D.
• Lueata Ann Evenson, LSCSW
• Gina M Everett, PA
• Evergreen Group, L.L.C. (ClearPath Home Health)
• Evergreen Wellnes Center
• Brooke Everhart

• Physical Therapy Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.