Evelyn Giles

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51650 Issued in CA

Practice address

2711 E Coast Hwy Ste 206
Corona del Mar, CA 92625-2108

Phone

(949) 675-2922

Fax

(949) 675-2992

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Newsport Physical Therapy

  • Physical Therapist
  • Corona del Mar, CA
  • NPI 1831258789
  NPD

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1619614591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E COAST HWY STE 206",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252108",
            "telephone_number": "949-675-2922",
            "fax_number": "949-675-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E COAST HWY STE 206",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252108",
            "telephone_number": "949-675-2922",
            "fax_number": "949-675-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Forney, FNP-C
• Jeffrey Fracalosy, DPT
• Mark Daniel Gaon, M.D.
• Garfield Beach CVS LLC
• Mojtaba Ghalambor, DDS
• Caitlin Glenn
• Robert Goldstone, MD
• Marybeth Grant-Beuttler, P.T., PH.D.
• Serena Gupta, MFC
• James Hair

• Physical Therapy Assistant in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.