NPIMap

Organization Active NPI

Evans Physical Therapy & Sport Performance, LLC

  • Physical Therapy Clinic/Center
  • Indian Land, SC
National Provider Identifier
1386465169
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVANS PHYSICAL THERAPY & SPORT PERFORMANCE, LLC
Practice address
9456 Charlotte Hwy Ste 104
Indian Land, SC 29707-7953
Phone
(803) 839-0406
Fax
(704) 235-1621
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Anthony James Evans, DPTNPI 1588143077
Title
Owner
Phone
(803) 839-0406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9456 Charlotte Hwy Ste 104
Indian Land, SC 29707-7953

Mailing address

4231 Spadefoot CT
Lancaster, SC 29720-0418
Phone (704) 975-0222

National Provider Directory

National Provider Directory
Tax ID family
Evans Physical Therapy and Sport Perform2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1386465169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 SPADEFOOT CT",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297200418",
            "telephone_number": "704-975-0222",
            "fax_number": "704-235-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 CHARLOTTE HWY STE 104",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077953",
            "telephone_number": "803-839-0406",
            "fax_number": "704-235-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS PHYSICAL THERAPY & SPORT PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-839-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.