Travis Evans, DPT
Individual provider Active NPI Physical Therapist · Hazle Township, PA
NPI 1609487073 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1609487073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT028793 (PA)
- Practice address
- 1077 N Church St
Hazle Township, PA 18202-1465 - Phone
- (570) 501-1808
- NPI assigned
- Aug 11, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT028793 | PA | Yes |
Addresses
Primary practice location
1077 N Church St
Hazle Township, PA 18202-1465
Mailing address
1077 N Church St
Hazle Township, PA 18202-1465
Phone (570) 501-1808
Other providers in Hazle Township, PA
- Eagle Optometric PC
- Rhina Elliot
- Endocrinology Clinic P.C.
- Gabrielle Engelke
- Mboutidem Etokakpan
- Evernorth Direct Health LLC
- Eye Care Specialists, P.C.
- Family Dermatology of Pennsylvania, PC
- Jennifer Fay
- Megan L Ferderber
All providers in Hazle Township, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.