Active NPI
Cari Lynn Evanega, PTA
- Physical Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1508333840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-008429
- Practice address
- 15810 S 42ND St
Phoenix, AZ 85048-7409 - Phone
- (480) 759-0358
- NPI assigned
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-008429 | AZ | Primary |
Addresses
Primary practice location
15810 S 42ND St
Phoenix, AZ 85048-7409
Mailing address
1525 W Honeysuckle LN
Chandler, AZ 85248-3678
Phone (602) 909-1840
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-008429 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1508333840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W HONEYSUCKLE LN",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483678",
"telephone_number": "602-909-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15810 S 42ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487409",
"telephone_number": "480-759-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANEGA",
"first_name": "CARI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "PTA-008429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.