Individual provider Active NPI

Rodger A Evans, DPT

  • Physical Therapist
  • Big Pine Key, FL
National Provider Identifier
1447322730
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010336 Issued in MI
Practice address
133 Palomino Horse Trail
Big Pine Key, FL 33043
Phone
(305) 304-4585
NPI assigned
Nov 14, 2006
Last updated
May 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010336 MI Primary

Addresses

Primary practice location

133 Palomino Horse Trail
Big Pine Key, FL 33043

Mailing address

133 Palomino Horse Trail
Big Pine Key, FL 33043
Phone (305) 304-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140501001720 FL Practitioner - Physical Therapist in Private Practice 3678706488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29980 Overseas Hwy
Big Pine Key, FL 33043-3362
Phone (305) 304-4585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010336MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David F Grider PA CurrentSince Dec 1, 2022 Accepting new patients
Big Pine Physical Therapy, Inc. Physical Therapist CurrentSince Jan 26, 2014 Accepting new patients

Locations

133 Palomino Horse Trl
Big Pine Key, FL 33043
Phone (305) 304-4585

29980 Overseas Hwy
Big Pine Key, FL 33043
Phone (305) 304-4585

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1447322730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PALOMINO HORSE TRAIL",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "33043",
            "telephone_number": "305-304-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PALOMINO HORSE TRAIL",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "33043",
            "telephone_number": "305-304-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RODGER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Pine Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.