Lorena Everhart, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11789 Issued in AZ

Practice address

36397 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7336

Phone

(480) 567-2987

Fax

(480) 347-0240

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Elite Medical Partners PLLC

  • Family Medicine Physician
  • Queen Creek, AZ
  • NPI 1710599303
  NPD

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1508234501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36397 N GANTZEL RD STE 102",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407336",
            "telephone_number": "480-567-2987",
            "fax_number": "480-347-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36397 N GANTZEL RD STE 102",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407336",
            "telephone_number": "480-567-2987",
            "fax_number": "480-347-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERHART",
        "first_name": "LORENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essential Care Providers
• Essential Therapy Solutions, LLC
• Kaitlyn Ann Evans
• Nathaniel Spencer Evans, CNC
• Evergreen Healthcare Treatment LLC
• Experience Physical Therapy LLC
• Chidozie C Eze, FNP
• Lorraine D Fajardo, FNP-BC
• Anyssa Falcon, SLPA
• Famond Care Network LLC

• Physical Therapist in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.