Evan Loomis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4625 Issued in AR

Practice address

5001 W Pauline Whitaker Pkwy Ste 120
Rogers, AR 72758-7341

Phone

(479) 202-0337

Fax

(479) 202-0338

NPI assigned

Jun 24, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialized Physical Therapy of Nwa LLCGroup PAC ID 1850727298, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Specialized Physical Therapy of Nwa LLC

  • Physical Therapist
  • Rogers, AR
  • NPI 1225670250
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1386205102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W PAULINE WHITAKER PKWY STE 120",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587341",
            "telephone_number": "479-202-0337",
            "fax_number": "479-202-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W PAULINE WHITAKER PKWY STE 120",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587341",
            "telephone_number": "479-202-0337",
            "fax_number": "479-202-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1998 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727045077",
            "country_code": "US",
            "telephone_number": "479-435-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5661",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Daniel Lockwood, MD
• Sharon Kay Loftis, APN
• Caroline Logan, CFY-SLP
• Shelly D Long, LMSW
• Brandon Michael Longden, DC
• Victoria Looney, LMT
• James Sidney Lopez, M.D.
• LS Counseling
• LTC of Rogers, LLC
• Scott Allen Ludwig, CRNA

• Physical Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.