Individual provider Active NPI

Evan Joseph Kern

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1497689897
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12605 Issued in AL
Practice address
810 Shoney Dr SW Ste 105
Huntsville, AL 35801-5450
Phone
(256) 678-8182
Fax
(256) 870-3927
NPI assigned
Jun 10, 2026
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 PTH12605 AL Primary

Addresses

Primary practice location

810 Shoney Dr SW Ste 105
Huntsville, AL 35801-5450

Mailing address

PO Box 640040
Pike Road, AL 36064-0040
Phone (334) 649-8676

Other practice location 1

209 Fitness Way
Athens, AL 35611-2451
Phone (256) 678-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1497689897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640040",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360640040",
            "telephone_number": "334-649-8676",
            "fax_number": "334-649-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SHONEY DR SW STE 105",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015450",
            "telephone_number": "256-678-8182",
            "fax_number": "256-870-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Fitness Way",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112451",
            "country_code": "US",
            "telephone_number": "256-678-8182",
            "fax_number": "256-870-2832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "EVAN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.