Jeffery David Evans, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1229 Issued in AK

Practice address

3650 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508-5218

Phone

(907) 561-4280

Fax

(907) 561-4282

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Physical Therapy Specialists, LLCGroup PAC ID 6002896198, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Alaska Physical Therapy Specialists, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1801849211
  Medicare reassignment Care Compare group Authorized official
• United Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1609888130
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1356392393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY",
            "address_2": "STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085218",
            "telephone_number": "907-561-4280",
            "fax_number": "907-561-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAKE OTIS PKWY",
            "address_2": "STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085218",
            "telephone_number": "907-561-4280",
            "fax_number": "907-561-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEFFERY",
        "middle_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT55672",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Christine Euhus, PA-C
• James M Eule, MD
• Bethany Rachelle Evankovich, PHARMD
• Carrie Evans
• Ebony Laquan Evans, B.A.
• Jessica Diane Evans, LPN
• Kyla Evans, LMT, MLD-C
• Mary C. Evans, M.S.W.
• Sally Evans
• Shirley Jean Evans, RPH

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.