John Paul Evans III, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022518 Issued in PA

Practice address

96 Willow Dr
Jim Thorpe, PA 18229-9566

Phone

(386) 405-6052

NPI assigned

May 14, 2007

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1518172345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WILLOW DR",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182299566",
            "telephone_number": "386-405-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WILLOW DR",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182299566",
            "telephone_number": "386-405-6052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Navajo Ave",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745815",
            "country_code": "US",
            "telephone_number": "386-673-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022518",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "22088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lynne Delnegro, PTA
• Nancy Leigh Dombrosky, PHRN
• Deborah Sue Dyer, LMT
• Laura Dyson, LMT
• Emilea Evans
• Walter J. Fagan, M.D.
• John J Fallabel, DMD
• Jennifer Lynn Gaines, DPT
• Kimberly Gauronsky
• Daryl J Gordon, CRNP

• Physical Therapist in Jim Thorpe, PA
• Providers in Jim Thorpe, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.