Individual provider Active NPI

Evan Peters, PT

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1316668171
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65243 Issued in OR
Practice address
2490 Willamette St Ste 5
Eugene, OR 97405-7211
Phone
(541) 844-1728
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030770 PA
Physical Therapist 225100000X 65243 OR Primary

Addresses

Primary practice location

2490 Willamette St Ste 5
Eugene, OR 97405-7211

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1580 Heebner Way
Lansdale, PA 19446-4317
Phone (267) 644-6556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MD, AZ, OR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221104002506 WA Practitioner - Physical Therapist in Private Practice 2961879820 Reassigns benefits to 1 organization
I20230810000038 MD Practitioner - Physical Therapist in Private Practice 2961879820 Reassigns benefits to 1 organization
I20231108002319 AZ Practitioner - Physical Therapist in Private Practice 2961879820 Reassigns benefits to 1 organization
I20240530003660 OR Practitioner - Physical Therapist in Private Practice 2961879820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Benchmark Physical Therapy of Oregon LLCGroup PAC ID 0143510602, 124 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1777 Coburg Rd
Suite 3
Eugene, OR 97401-5477
Phone (541) 505-8041

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65243ORMDPhysical Therapist
PT030770PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 18, 2022 Accepting new patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Drayer Physical Therapy of Maryland LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Oct 18, 2022 Accepting new patients
Strength Training Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

444 W Osborn Rd
Ste 303
Phoenix, AZ 85013
Phone (602) 279-8022

3970 W 24th St
Ste 108
Yuma, AZ 85364
Phone (602) 300-9464

11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234

998 Hospitality Way
Ste 101
Aberdeen, MD 21001
Phone (410) 273-9776

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

2490 Willamette St
Ste 5
Eugene, OR 97405
Phone (541) 844-1728

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1316668171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WILLAMETTE ST STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974057211",
            "telephone_number": "541-844-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Heebner Way",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194464317",
            "country_code": "US",
            "telephone_number": "267-644-6556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030770",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.