Everson Orthopedic, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01532 Issued in MO

Legal business name

EVERSON ORTHOPEDIC, PC

Practice address

763 S New Ballas Rd
#200
Saint Louis, MO 63141-8704

Phone

(314) 991-2562

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shawn K Everson, MHS, PT, OCS, MTC

Title

Physical Therapist/Owner

Phone

(314) 991-2562

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1275615544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "#200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418704",
            "telephone_number": "314-991-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "#200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418704",
            "telephone_number": "314-991-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSON ORTHOPEDIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "314-991-2562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, PT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01532",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00423",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2005035740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Evers, M.D.
• Carol Jane Evers, M.D.
• Sylvia Evers, PA-C
• Mary K Eversgerd, PNP
• Taylor Eversole, PA-C
• Courtney Everson, M.S.W. LCSW RPT
• Shawn K Everson, MHS, PT, OCS, MTC
• Everspring LLC
• Leah Christine Evert, RD, LD
• Everydays Gourmet LLC

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.