Active NPI
Nathan Evans
- Sports Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 62510
- Practice address
- 905 SW Ankeny Street
Portland, OR 97214 - Phone
- (971) 236-7610
- NPI assigned
- Aug 8, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 62510 | OR | Primary |
Addresses
Primary practice location
905 SW Ankeny Street
Portland, OR 97214
Mailing address
668 SW Foresta Ter
Portland, OR 97225-7056
Phone (806) 670-3481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62510 | OR | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Luna Care Physical Therapy LLC | Sports | Current | Accepting new patients |
| Kick Performance Therapy LLC | Current | Accepting new patients | |
| Premere Rehab, LLC | Current | Accepting new patients | |
| Premere Rehab LLC | Current | Accepting new patients | |
| Therapeutic Associates Inc | Past | Accepting new patients | |
| Providence Health & Services Oregon | Past | Accepting new patients |
Locations
9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643
905 SE Ankeny St
Portland, OR 97214
Phone (971) 236-7610
8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365
25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070
Phone (888) 757-3422
Organizations & group practices 6
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.
-
- Physical Therapist
- Portland, OR
- NPI 1235881178
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1548749823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 SW FORESTA TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972257056",
"telephone_number": "806-670-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SW ANKENY STREET",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "971-236-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2025-08-05",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "OR",
"license": "62510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.