Active NPI
Steven Brent Evans, OTR/L
- Occupational Therapist
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 304 Turner McCall Blvd SW
Rome, GA 30165-5621 - Phone
- (706) 509-5000
- NPI assigned
- Oct 21, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Mailing address
2 Rollingwood Dr NW
Rome, GA 30165-1780
Phone (706) 936-3016
Other practice location 1
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Other practice location 2
600 Eagle Lake Trl
Rome, GA 30165-2207
Phone (706) 450-8776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Eagle Lake TRL
Rome, GA 30165-2246
Phone 82877452220027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Occupational Therapist | Current | Accepting new patients |
Locations
500 Eagle Lake Trl
Rome, GA 30165
Phone (706) 728-3600
1 Pond St
Arden, NC 28704
Phone 82877452220027
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1619798733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ROLLINGWOOD DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651780",
"telephone_number": "706-936-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 TURNER MCCALL BLVD SW",
"city": "ROME",
"state": "GA",
"postal_code": "301655621",
"telephone_number": "706-509-5000"
}
],
"practiceLocations": [
{
"address_1": "501 Redmond Rd NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651415",
"country_code": "US",
"telephone_number": "706-291-0291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Eagle Lake Trl",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301652207",
"country_code": "US",
"telephone_number": "706-450-8776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "STEVEN",
"middle_name": "BRENT",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.