Individual provider Active NPI

Evangeline M Carlson, PT,DPT

  • Physical Therapist
  • McAllen, TX
National Provider Identifier
1508916271
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1070803 Issued in TX
Practice address
2108 S M St
McAllen, TX 78503-1555
Phone
(956) 668-7433
Fax
(956) 668-7183
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 1070803 TX Primary

Addresses

Primary practice location

2108 S M St
McAllen, TX 78503-1555

Mailing address

2401 Leon St Apt 109
Austin, TX 78705-4634
Phone (956) 533-5070

Other practice location 1

2401 Leon St Apt 109
Austin, TX 78705-4634
Phone (956) 533-5070

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

LicenseStateTypeSpecialty
1070803TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1508916271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LEON ST APT 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054634",
            "telephone_number": "956-533-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 S M ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031555",
            "telephone_number": "956-668-7433",
            "fax_number": "956-668-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Leon St Apt 109",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787054634",
            "country_code": "US",
            "telephone_number": "956-533-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "EVANGELINE",
        "middle_name": "M",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1070803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.